Active NPI
Barry W. Tewis, O. D.
- Optometrist
- Hattiesburg, MS
National Provider Identifier
1861540163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 484
- Practice address
- 102 N 38TH Ave
Hattiesburg, MS 39401-6700 - Phone
- (601) 264-6688
- Fax
- (601) 264-3393
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 484 | MS | Primary |
Addresses
Primary practice location
102 N 38TH Ave
Hattiesburg, MS 39401-6700
Mailing address
102 N 38TH Ave
Hattiesburg, MS 39401-6700
Phone (601) 264-6688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 484 | MS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karah Hill Hiatt OD PLLC | Optometrist | Past | Accepting new patients |
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.
-
- Optometrist
- Hattiesburg, MS
- NPI 1831707553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861540163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 N 38TH AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394016700",
"telephone_number": "601-264-6688",
"fax_number": "601-264-3393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 N 38TH AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394016700",
"telephone_number": "601-264-6688",
"fax_number": "601-264-3393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEWIS",
"first_name": "BARRY",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "O. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": "484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.