Individual provider Active NPI

Joshua Michael Hatfield, O.D.

  • Optometrist
  • Fulton, MS
National Provider Identifier
1740416429
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
808 Issued in MS
Practice address
1310 E Walker St
Fulton, MS 38843
Phone
(662) 862-6727
Fax
(662) 862-7969
NPI assigned
Jun 8, 2009
Last updated
Oct 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 808 MS Primary

Addresses

Primary practice location

1310 E Walker St
Fulton, MS 38843

Mailing address

PO Box 356
Fulton, MS 38843-0356
Phone (662) 862-6727

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
I20100909000899 MS Practitioner - Optometry 4284759580 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1310 E Walker St
Fulton, MS 38843-0356
Phone (662) 862-6727

1310 E Walker St
Fulton, MS 38843-8062

607 B Earl Frye Blvd
Total Eye Care
Amory, MS 38821-5503
Phone (662) 256-9711

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery70

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
808MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Eye Care of Fulton P.a. CurrentSince Jan 13, 2013 Accepting new patients
Total Eye Care of Fulton P.a. Optometrist CurrentSince Jan 1, 2013 Accepting new patients
Eye Care Associates Optometrist CurrentSince Feb 28, 2015 Accepting new patients

Locations

607 Earl Frye Blvd
#B
Amory, MS 38821
Phone (662) 256-9711

1310 E Walker St
Fulton, MS 38843
Phone (601) 862-6727

1310 E Walker St
#356
Fulton, MS 38843
Phone (662) 862-6727

1413 W Main St
Ste A
Tupelo, MS 38801
Phone (662) 205-4654

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1740416429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "FULTON",
            "state": "MS",
            "postal_code": "388430356",
            "telephone_number": "662-862-6727",
            "fax_number": "662-862-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E WALKER ST",
            "city": "FULTON",
            "state": "MS",
            "postal_code": "38843",
            "telephone_number": "662-862-6727",
            "fax_number": "662-862-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "JOSHUA",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MS

Sources for this page

Verify at the official NPI Registry.