Ripley Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

855 Issued in MS

Legal business name

RIPLEY EYE CARE, LLC

Practice address

1010B City Ave N
Ripley, MS 38663-1413

Phone

(662) 512-0019

Fax

(662) 512-0430

NPI assigned

Mar 14, 2013

Organization subpart

No

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

Authorized official

Name

Jennifer Street Childers, O.D.NPI 1336497510

Title

Optometrist/Sole Owner

Phone

(662) 512-0019

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Street Childers, O.D.

  • Optometrist
  • Ripley, MS
  • NPI 1336497510
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1841531977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010B CITY AVE N",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631413",
            "telephone_number": "662-512-0019",
            "fax_number": "662-512-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010B CITY AVE N",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631413",
            "telephone_number": "662-512-0019",
            "fax_number": "662-512-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIPLEY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "STREET",
        "authorized_official_title_or_position": "OPTOMETRIST/SOLE OWNER",
        "authorized_official_telephone_number": "662-512-0019",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Richardson
• Jennifer Richardson, FNP-BC
• Kaitlin Danielle Rinehart
• Ripley Drug Company, Inc.
• Ripley Drug Company, Inc.
• Nayeli Rivera
• Myles Devin Rodgers, PT
• Tiffany Nicole Rolison, PHARM D
• Mark Owen Roseberry, MA, CCC-SLP
• Donald Perrin Roten Sr., D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.