Shipp Family Eyecare, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

719 Issued in MS

Legal business name

SHIPP FAMILY EYECARE, PLLC

Practice address

1831 S. Martin Luther King Blvd.
Greenville, MS 38701

Phone

(662) 378-3318

Fax

(662) 378-3317

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Searcy Shipp V, O.D.NPI 1225044001

Title

Optometrist/Co-Owner

Phone

(662) 378-3318

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Shipp Family Eyecare, PLLC

  • Optometrist
  • Cleveland, MS
  • NPI 1730194358

  O20060316000625

  Same enrollment

Tax ID family

Shipp Family Eyecare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shipp Family Eyecare, PLLC

  • Optometrist
  • Cleveland, MS
  • NPI 1730194358
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Searcy Shipp V, O.D.

  • Optometrist
  • Greenville, MS
  • NPI 1225044001
  Medicare reassignment Care Compare group NPD Authorized official
• Jasmine Donnette Shipp, O.D.

  • Optometrist
  • Cleveland, MS
  • NPI 1508871195
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1689680464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 S. MARTIN LUTHER KING BOULEVARD",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "38701",
            "telephone_number": "662-378-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 S. MARTIN LUTHER KING BLVD.",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "38701",
            "telephone_number": "662-378-3318",
            "fax_number": "662-378-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIPP FAMILY EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "SHIPP",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SEARCY",
        "authorized_official_title_or_position": "OPTOMETRIST/CO-OWNER",
        "authorized_official_telephone_number": "662-378-3318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "V",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08453371",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Senior Empowerment Center, LLC
• Sharkey-Issaquena Adult Daycare
• Kimberly Lavearne Shead, SLP
• Patricia Ann Shelton, R.N.
• Chasity Ann Sheppeard, FNP-C
• Robert Searcy Shipp V, O.D.
• Mary Sims-Johnson, LCSW
• Satwinder Singh, MD
• Erica Laquonia Singleton, RN
• Theresa L Skelton, DMD,MS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.