C. Chris Collins, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

522 Issued in MS

Practice address

1206 Mission 66
Vicksburg, MS 39183-3137

Phone

(601) 638-2081

Fax

(601) 638-2171

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Eye Care of Vicksburg PAGroup PAC ID 5698150936, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Eye Care of Vicksburg PA

  • Optometrist
  • Vicksburg, MS
  • NPI 1558089979
  Medicare reassignment Care Compare group NPD
• The Vision Clinic of Vicksburg LLC

  • Optometrist
  • Vicksburg, MS
  • NPI 1871602862
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1679682835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391833137",
            "telephone_number": "601-638-2081",
            "fax_number": "601-638-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391833137",
            "telephone_number": "601-638-2081",
            "fax_number": "601-638-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "C. CHRIS",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "522",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MS",
            "license": "522",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087003",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cognitive Development Center of Mississippi
• Alice Tiffany Cohea, LSW
• Kristy D Cole, OTR/L
• Roderick L Coleman, D.M.D.
• Collins Eye Clinic Inc
• Colonial Discount Drugs
• Mark J Combs, CRNA
• Community Care Center of Vicksburg LLC (Heritage House Nursing Center)
• Compudoc
• Norman L Connell Jr., MD

• Optometrist in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.