Patrick Rowan Doherty, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

MS561 Issued in MS

Practice address

611 Franklin St
Natchez, MS 39120-3311

Phone

(601) 445-4282

Fax

(601) 445-9197

NPI assigned

Oct 25, 2005

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 3

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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doherty Vision Clinic PAGroup PAC ID 4385857929, 2 clinicians

Practice addresses (Care Compare)

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.

• Doherty Vision Clinic PA

  • Optometrist
  • Natchez, MS
  • NPI 1033285119
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1780674317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 FRANKLIN ST",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391203311",
            "telephone_number": "601-445-4282",
            "fax_number": "601-445-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 FRANKLIN ST",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391203311",
            "telephone_number": "601-445-4282",
            "fax_number": "601-445-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "PATRICK",
        "middle_name": "ROWAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "MS561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880068",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1466719",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "410047932",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Percy Dickey III, D.M.D.
• Divine Personal Care
• Dixon Consultants Inc
• Calvin Lionel Dixon, RRT
• Doherty Vision Clinic PA
• Shawn Paul Doherty, OD
• Carolyn B Dollar, APRN BC, FNP
• Margaret Michelle Donald, LCSW
• Sterling Edward Dossett
• Dr. Sherman Medical Clinic

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.