Organization Active NPI

Dodd Eye Clinic P. C.

  • Optometrist
  • Corinth, MS
National Provider Identifier
1760727481
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DODD EYE CLINIC P. C.
Practice address
618 N Fillmore St
Corinth, MS 38834-4825
Phone
(662) 286-5671
Fax
(662) 287-2222
NPI assigned
Dec 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Authorized official

Name
Dr. John D Dodd, O.D.NPI 1326121336
Title
Owner
Phone
(662) 286-5671

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 Primary

Addresses

Primary practice location

618 N Fillmore St
Corinth, MS 38834-4825

Mailing address

618 N Fillmore St
Corinth, MS 38834-4825
Phone (662) 286-5671

Other identifiers 1

IdentifierTypeStateIssuer
01550738MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20130318000235 TN Part B Supplier - Clinic/Group Practice 7113162348 Receives reassigned benefits from 3 practitioners
Practice locations: Adamsville, TN
O20130424000994 MS Part B Supplier - Clinic/Group Practice 7113162348 Receives reassigned benefits from 3 practitioners
Practice locations: Corinth, MS
O20130426000217 MS DME Supplier - Physician - Optometrist 7113162348 Practice locations: Corinth, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2065324Dodd Eye Clinic, PC618 Fillmore Street, Corinth, MS 38834Certificate of waiverSep 8, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Dodd Eye Clinic P. C.618 N Fillmore St, Corinth, MS 38834-4825(662) 286-5671 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 2, 2013

National Provider Directory

National Provider Directory

Locations

618 N Fillmore St
Corinth, MS 38834
Phone (662) 286-5671

609 N Fillmore St
Corinth, MS 38834
Phone (662) 286-5671

236C N Maple St
Adamsville, TN 38310
Phone (731) 632-5000

Practitioners & affiliated clinicians

Practitioners 5

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": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1760727481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 N FILLMORE ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388344825",
            "telephone_number": "662-286-5671",
            "fax_number": "662-287-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 N FILLMORE ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388344825",
            "telephone_number": "662-286-5671",
            "fax_number": "662-287-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DODD EYE CLINIC P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "DODD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-286-5671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01550738",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.