Opticdok Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OPTICDOK INC.

Practice address

2105 Old Spanish Trail
Gautier, MS 39553

Phone

(228) 205-7761

Fax

(228) 875-3398

NPI assigned

Mar 8, 2021

Last updated

Mar 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Renea O'Kelley Hughes, ODNPI 1194765776

Title

Owner

Phone

(228) 875-3318

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia R O'Kelley-Hughes, O.D.

  • Optometrist
  • Ocean Springs, MS
  • NPI 1194765776
  Authorized official Same address or phone

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615593600000",
    "number": "1841885159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643117",
            "telephone_number": "228-875-3318",
            "fax_number": "228-875-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 OLD SPANISH TRAIL",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "39553",
            "telephone_number": "228-205-7761",
            "fax_number": "228-875-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICDOK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A",
        "authorized_official_last_name": "O'KELLEY HUGHES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "RENEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-875-3318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britney Nicholas
• Rachel Kimberleigh Nilsen, LPC
• Kathleen Anyce O'Brien, BSW
• Jane Marie Oesterling
• Wade Mitchell Ogletree, BA
• Joshua Ortego
• Madison Owen
• Robin Nicole Owens
• Jasmine A.a Packer, B.S.
• Alexis S Padgett, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2021; 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.