Quatrisa Irving, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

836 Issued in MS

Practice address

1200 E County Line Rd
Ste 166
Ridgeland, MS 39157-1949

Phone

(601) 957-6078

Fax

(601) 957-6924

NPI assigned

Jan 10, 2008

Last updated

Sep 25, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Irving Eye Care LLC

  • Optometrist
  • Ridgeland, MS
  • NPI 1134522576
  Authorized official Same address or phone

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1821274648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E COUNTY LINE RD",
            "address_2": "STE 166",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571949",
            "telephone_number": "601-957-6078",
            "fax_number": "601-957-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E COUNTY LINE RD",
            "address_2": "STE 166",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571949",
            "telephone_number": "601-957-6078",
            "fax_number": "601-957-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVING",
        "first_name": "QUATRISA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Internal Medicine & Pediatric Associates
• Intrathecal Care Solutions
• Invictus RX LLC (Invictus Rx)
• Alexis N Irby, FNP
• Irving Eye Care LLC
• Philip Ivanov, D.C.
• Donny R Ivy, PT
• Jackson Neuroscience Center
• Jackson Pediatric Associates
• Jackson Psychiatry Group (PMT Clinic)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.