Individual provider Active NPI

Lauren Coleman Ferrell, OD

  • Optometrist
  • Corinth, MS
National Provider Identifier
1811664147
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1037 Issued in MS
Practice address
3201 Gaines Rd
Corinth, MS 38834-8422
Phone
(662) 286-8860
Fax
(662) 286-3079
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1037 MS Primary

Addresses

Primary practice location

3201 Gaines Rd
Corinth, MS 38834-8422

Mailing address

3906 Worsham Dr
Corinth, MS 38834-8674
Phone (662) 603-3880

Other practice location 1

717 Coulter Dr
New Albany, MS 38652-2808
Phone (662) 539-7801

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
I20220210001943 MS Practitioner - Optometry 5193118362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corinth Eye Clinic, IncGroup PAC ID 0941369649, 4 clinicians

Practice addresses (Care Compare)

3201 Gaines Rd
Corinth, MS 38834-8422
Phone (662) 286-8860

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1037MSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Corinth Eye Clinic, Inc Optometrist CurrentSince Feb 2, 2022 Accepting new patients

Locations

3201 Gaines Rd
Corinth, MS 38834
Phone (662) 286-8860

717 Coulter Dr
New Albany, MS 38652
Phone (662) 534-4397

303 J H Phillips Ln
New Albany, MS 38652
Phone (662) 539-0233

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1811664147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 WORSHAM DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388348674",
            "telephone_number": "662-603-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 GAINES RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388348422",
            "telephone_number": "662-286-8860",
            "fax_number": "662-286-3079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "717 Coulter Dr",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386522808",
            "country_code": "US",
            "telephone_number": "662-539-7801",
            "fax_number": "662-539-7881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "LAUREN",
        "middle_name": "COLEMAN",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "1037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.