Joseph Joseph Joseph, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

410 Issued in MS

Practice address

100 Airport Rd S
Pearl, MS 39208-6654

Phone

(601) 939-3753

Fax

(601) 936-6586

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1760547574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AIRPORT RD S",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392086654",
            "telephone_number": "601-939-3753",
            "fax_number": "601-936-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AIRPORT RD S",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392086654",
            "telephone_number": "601-939-3753",
            "fax_number": "601-936-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "JOSEPH",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087245",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacksonbracey Health Care
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• Joyce M Johnson, MN, RN, CFNP
• Kurt Darwin Johnson, MD
• Teleshia Danielle Johnson, DMD
• Shireisla Denae Kelly, NP
• Key Dental Group of Pearl LLC
• Kids First Pediatric & Adult Medicine, LLC
• Olivia Kincaid
• Catrina D Kitchens

• Optometrist in Pearl, MS
• Providers in Pearl, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.