NPIMap

Organization Active NPI

Oxford Family Vision Clinic, Inc

  • Optometrist
  • Oxford, MS
National Provider Identifier
1740423599
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0595 Issued in MS
Legal business name
OXFORD FAMILY VISION CLINIC, INC
Practice address
1110 N Lamar Blvd
Oxford, MS 38655-2844
Phone
(662) 234-0400
Fax
(662) 234-0403
NPI assigned
Apr 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Dr. Michael G Turner, O.D.NPI 1023101342
Title
Optometrist
Phone
(662) 234-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0595 MS Primary

Addresses

Primary practice location

1110 N Lamar Blvd
Oxford, MS 38655-2844

Mailing address

1110 N Lamar Blvd
Oxford, MS 38655-2844
Phone (662) 234-0400

Other identifiers 1

IdentifierTypeStateIssuer
00880034MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051102000929 MS Part B Supplier - Clinic/Group Practice 8123046760 Receives reassigned benefits from 1 practitioner
Practice locations: Oxford, MS
O20111220000219 MS DME Supplier - Physician - Optometrist 8123046760 Practice locations: Oxford, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Oxford Family Vision Clinic Inc1110 N Lamar Blvd, Oxford, MS 38655-2844(662) 234-0400 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jun 19, 1989

National Provider Directory

National Provider Directory

Locations

1110 N Lamar Blvd
Oxford, MS 38655
Phone (662) 234-0400

Interoperability endpoints

  • Direct secure messaging: mturner@oxfordfamilyvisionclinic.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1740423599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386552844",
            "telephone_number": "662-234-0400",
            "fax_number": "662-234-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386552844",
            "telephone_number": "662-234-0400",
            "fax_number": "662-234-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD FAMILY VISION CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "662-234-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "0595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880034",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.