Organization Active NPI

Eye Care Associates

  • Optometrist
  • Tupelo, MS
National Provider Identifier
1770901654
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE CARE ASSOCIATES
Practice address
2005 W Main St
Suite 102
Tupelo, MS 38801-3214
Phone
(662) 205-4654
Fax
(662) 205-4669
NPI assigned
Mar 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Dr. Joshua M HatfieldNPI 1740416429
Title
Optomotrist
Phone
(662) 205-4654

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

2005 W Main St
Suite 102
Tupelo, MS 38801-3214

Mailing address

2005 W Main St
Suite 102
Tupelo, MS 38801-3214
Phone (662) 205-4654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150512001199 MS Part B Supplier - Clinic/Group Practice 2961721006 Receives reassigned benefits from 2 practitioners
Practice locations: Tupelo, MS

National Provider Directory

National Provider Directory

Locations

2005 W Main St
#102Ste
Tupelo, MS 38801
Phone (662) 205-4654

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": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1770901654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 W MAIN ST",
            "address_2": "SUITE 102",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013214",
            "telephone_number": "662-205-4654",
            "fax_number": "662-205-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 W MAIN ST",
            "address_2": "SUITE 102",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013214",
            "telephone_number": "662-205-4654",
            "fax_number": "662-205-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "HATFIELD",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMOTRIST",
        "authorized_official_telephone_number": "662-205-4654",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.