Individual provider Active NPI

Trent A Stribling, O.D.

  • Optometrist
  • Philadelphia, MS
National Provider Identifier
1831745199
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1002 Issued in MS
Practice address
1054 Airpark Rd
Philadelphia, MS 39350-3368
Phone
(601) 656-3296
NPI assigned
Aug 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1002 MS Primary

Addresses

Primary practice location

1054 Airpark Rd
Philadelphia, MS 39350-3368

Mailing address

3090 N Church Ave
Louisville, MS 39339-6349
Phone (662) 773-3494

Other practice location 1

210 Bank St
Union, MS 39365-2504
Phone (601) 774-9529

Other practice location 2

107 Decatur St
Newton, MS 39345-2309
Phone (601) 683-3241

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
I20191004002842 MS Practitioner - Optometry 4688905698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ms Eye Care PAGroup PAC ID 3274814207, 17 clinicians

Practice addresses (Care Compare)

1054 Airpark Rd
Philadelphia, MS 39350-3368
Phone (601) 656-3296

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1002MSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ms Eye Care PA Optometrist CurrentSince Jul 13, 2019 Accepting new patients
Ms Eye Care, PA Optometrist CurrentSince Jul 13, 2019 Accepting new patients

Locations

3090 N Church Ave
Louisville, MS 39339
Phone (662) 773-3494

5002 Highway 39 N
Bldg B
Meridian, MS 39301
Phone (601) 483-7331

107 Decatur St
Newton, MS 39345
Phone (601) 683-3241

1054 Airpark Rd
#R
Philadelphia, MS 39350
Phone (601) 656-3296

1054 Airpark Rd
Philadelphia, MS 39350
Phone (601) 656-3296

210 Bank St
Union, MS 39365
Phone (601) 683-3241

Interoperability endpoints

  • Direct secure messaging: tstribling@mseyecare.eyefinity-direct.com

Organizations & group practices 2

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": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1831745199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 N CHURCH AVE",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393396349",
            "telephone_number": "662-773-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 AIRPARK RD",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393503368",
            "telephone_number": "601-656-3296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Bank St",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "MS",
            "postal_code": "393652504",
            "country_code": "US",
            "telephone_number": "601-774-9529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Decatur St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MS",
            "postal_code": "393452309",
            "country_code": "US",
            "telephone_number": "601-683-3241",
            "fax_number": "601-683-3233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRIBLING",
        "first_name": "TRENT",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "1002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, MS

Sources for this page

Verify at the official NPI Registry.