Individual provider Active NPI

Sherylan Anne Webb, O.D.

  • Optometrist
  • Starkville, MS
National Provider Identifier
1699857771
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
767 Issued in MS
Practice address
1085 Stark Rd Ste C
Starkville, MS 39759-3682
Phone
(662) 320-6636
Fax
(662) 320-3838
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 767 MS Primary

Addresses

Primary practice location

1085 Stark Rd Ste C
Starkville, MS 39759-3682

Mailing address

1085 Stark Rd Ste C
Starkville, MS 39759-3682
Phone (662) 320-6636

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070914000622 MS Practitioner - Optometry 8224122783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1085 Stark Rd
Suite C
Starkville, MS 39759-3682
Phone (662) 320-6636

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
767MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Starkville Eye Clinic Inc Optometrist CurrentSince Oct 21, 2012 Accepting new patients

Locations

1085 Stark Rd
Ste C
Starkville, MS 39759
Phone (662) 320-6636

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699857771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 STARK RD STE C",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593682",
            "telephone_number": "662-320-6636",
            "fax_number": "662-320-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 STARK RD STE C",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593682",
            "telephone_number": "662-320-6636",
            "fax_number": "662-320-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "SHERYLAN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.