Eyeology Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

841 Issued in MS

Legal business name

EYEOLOGY EYECARE, LLC

Practice address

131 Handley Blvd
Byram, MS 39272-8983

Phone

(601) 346-7549

NPI assigned

Mar 22, 2016

Last updated

Mar 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deandre Monique Carr, O.D.NPI 1568742146

Title

Owner

Phone

(601) 346-7549

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deandre Monique Carr, O.D.

  • Optometrist
  • Byram, MS
  • NPI 1568742146
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1780046540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 HANDLEY BLVD",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392728983",
            "telephone_number": "601-346-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 HANDLEY BLVD",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392728983",
            "telephone_number": "601-346-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEOLOGY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "DEANDRE",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-346-7549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568742146",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.