Rhetta A Conn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

806 Issued in MS

Practice address

412 Central Ave
Coldwater, MS 38618-3843

Phone

(662) 622-5173

Fax

(662) 622-5590

NPI assigned

Jul 31, 2009

Last updated

Mar 7, 2023By 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

Other identifiers 2

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coldwater Vision Center, LLCGroup PAC ID 4688651649, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rconn@coldwatervisioncenter.eyefinity-direct.com

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.

• Coldwater Vision Center LLC

  • Optometrist
  • Coldwater, MS
  • NPI 1003952383
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1790916294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 486",
            "address_2": "412 CENTRAL AVENUE",
            "city": "COLDWATER",
            "state": "MS",
            "postal_code": "386180486",
            "telephone_number": "662-622-5173",
            "fax_number": "662-622-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 CENTRAL AVE",
            "city": "COLDWATER",
            "state": "MS",
            "postal_code": "386183843",
            "telephone_number": "662-622-5173",
            "fax_number": "662-622-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONN",
        "first_name": "RHETTA",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02623217",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12077069",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridge Healthcare LLC
• Cathey Family Dentistry PLLC
• Deran Cathey, D.D.S.
• Coldwater Pharmacy Inc (Coldwater Pharmacy)
• Coldwater Vision Center LLC
• Sydney B Dees, RN
• Blake Andrew Embrey
• Funderburks Pharmacy Inc (Funderburks Pharmacy-Independence)
• Guardian Angel Transportation
• Brittany Kelly Harris, NP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.