NPIMap

Organization Active NPI

Eyedok LLC

  • Optometrist
  • Olive Branch, MS
National Provider Identifier
1780789172
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
751 Issued in MS
Legal business name
EYEDOK LLC
Practice address
6137 Autumn PT
Olive Branch, MS 38654-6643
Phone
(901) 438-6088
NPI assigned
Sep 13, 2006
Last updated
Feb 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Authorized official

Name
Dr. Patricia R Okelley Hughes, O.D.
Title
Dr.
Phone
(901) 438-6088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 751 MS Primary

Addresses

Primary practice location

6137 Autumn PT
Olive Branch, MS 38654-6643

Mailing address

6137 Autumn PT
Olive Branch, MS 38654-6643
Phone (901) 438-6088

National Provider Directory

National Provider Directory

Locations

725 Dunbar Ave
Bay St Louis, MS 39520
Phone (228) 446-3099

1315 Highway 4 E
Holly Springs, MS 38635
Phone (662) 252-1141

1024 Highway 61 S
Tunica, MS 38676
Phone (662) 363-3164

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1780789172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6137 AUTUMN PT",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546643",
            "telephone_number": "901-438-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6137 AUTUMN PT",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546643",
            "telephone_number": "901-438-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEDOK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "OKELLEY HUGHES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "901-438-6088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.