NPIMap

Organization Active NPI

Max M Edrington Optometrist PA

  • Optometrist
  • Long Beach, MS
National Provider Identifier
1720249279
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MAX M EDRINGTON OPTOMETRIST PA
Practice address
202 E Railroad St
Long Beach, MS 39560-4627
Phone
(228) 868-2020
Fax
(228) 863-2695
NPI assigned
Jun 18, 2008
Last updated
Aug 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Max M EdringtonNPI 1336172428
Title
Owner
Phone
(228) 868-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

202 E Railroad St
Long Beach, MS 39560-4627

Mailing address

PO Box 979
Long Beach, MS 39560-0979
Phone (228) 868-2020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1720249279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 979",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395600979",
            "telephone_number": "228-868-2020",
            "fax_number": "228-863-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E RAILROAD ST",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604627",
            "telephone_number": "228-868-2020",
            "fax_number": "228-863-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX M EDRINGTON OPTOMETRIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "EDRINGTON",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-868-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.