20-20 Eyeworld Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

406 Issued in MS

Legal business name

20-20 EYEWORLD INC

Practice address

1607 Highway 1 S
Greenville, MS 38701

Phone

(662) 378-2085

Fax

(662) 334-4593

NPI assigned

Feb 23, 2007

Last updated

Feb 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph P Portera, ODNPI 1619078771

Title

Doctor

Phone

(662) 378-2085

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leesa Hogg Smith, O.D.

  • Optometrist
  • Greenville, MS
  • NPI 1629179791
  Medicare reassignment NPD
• Joseph Peter Portera, O.D.

  • Optometrist
  • Greenville, MS
  • NPI 1619078771
  Authorized official Same address or phone

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1710012190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 HIGHWAY 1 S",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "38701",
            "telephone_number": "662-378-2085",
            "fax_number": "662-334-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 HIGHWAY 1 S",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "38701",
            "telephone_number": "662-378-2085",
            "fax_number": "662-334-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20-20 EYEWORLD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "PORTERA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "662-378-2085",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014209",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 20 20 Eye World of Greenville LLC
• A & a Infusion & Specialty, LLC (A & A Pharmacy)
• A & a Infusion & Specialty, LLC (A & A Pharmacy)
• A & a Infusion & Specialty, LLC
• A & a Infusion & Specialty, LLC (A & A Pharmacy)
• A&a Home Health Equipment, Inc.

• 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 Feb 10, 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.