Alyssa Mabry, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

985 Issued in MS

Practice address

106 E Main St
Senatobia, MS 38668-2138

Phone

(662) 562-5500

NPI assigned

Jul 26, 2018

Last updated

Jul 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sawyer Scott Eyecare Center PLLCGroup PAC ID 7315289741, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sawyer Scott Eyecare Center PLLC

  • Optometrist
  • Sardis, MS
  • NPI 1356904445
  Medicare reassignment Care Compare group NPD
• Dr Richard C. Buck OD PC

  • Optometrist
  • Memphis, TN
  • NPI 1972747475

  MS

  Medicare reassignment NPD
• 20Twenty Vision LLC

  dba Tate County Vision Center

  • Optometrist
  • Senatobia, MS
  • NPI 1316556210
  Authorized official Same address or phone
• Sawyer Scott LLC Dba the Eyecare Center

  • Optometrist
  • Sardis, MS
  • NPI 1619460607
  NPD (past)

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1770060295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E MAIN ST",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E MAIN ST",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682138",
            "telephone_number": "662-562-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABRY",
        "first_name": "ALYSSA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn McCluskey Liles, PA-C
• James W Litton II, ACNP
• Olivia Lorayne Lloyd, OTR
• LM Burnett Health Services, Inc (Preventive Care Health and Wellness)
• Donica Long, FNP
• Magnolia Medical Supplies and Equipment
• David Scott Massey
• Kayla Sue Massey, FNP-BC
• Mays Pharmacy
• Mays Pharmacy

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.