Individual provider Active NPI

Emily Carter Patterson, OD

  • Optometrist
  • Carthage, MS
National Provider Identifier
1801522495
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1060 Issued in MS
Practice address
201 Highway 16 E
Carthage, MS 39051-4203
Phone
(601) 267-9351
Fax
(601) 267-9004
NPI assigned
Jul 27, 2022
Last updated
Jul 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1060 MS Primary

Addresses

Primary practice location

201 Highway 16 E
Carthage, MS 39051-4203

Mailing address

201 Highway 16 E
Carthage, MS 39051-4203
Phone (601) 267-9351

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220805001767 MS Practitioner - Optometry 9335521400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carthage Eye Clinic PAGroup PAC ID 7719065713, 3 clinicians

Practice addresses (Care Compare)

201 Hwy 16 E
Carthage, MS 39051-4203
Phone (601) 267-9351

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1060MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Eye Care of Forest Optometrist Current Accepting new patients
Southern Eye Care of Flowood, PA Optometrist CurrentSince Jul 31, 2022 Accepting new patients
Carthage Eye Clinic PA Optometrist CurrentSince Aug 1, 2022 Accepting new patients

Locations

201 Highway 16 E
Carthage, MS 39051
Phone (601) 267-9351

Interoperability endpoints

  • Direct secure messaging: emily.patterson.1@20428.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1801522495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HIGHWAY 16 E",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390514203",
            "telephone_number": "601-267-9351",
            "fax_number": "601-267-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HIGHWAY 16 E",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390514203",
            "telephone_number": "601-267-9351",
            "fax_number": "601-267-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "EMILY",
        "middle_name": "CARTER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "1060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, MS

Sources for this page

Verify at the official NPI Registry.