Organization Active NPI

R. D. Eason OD PA

  • Optometrist
  • Forest, MS
National Provider Identifier
1871763524
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
481 Issued in MS
Legal business name
R. D. EASON OD PA
Practice address
516 Airport Rd
Forest, MS 39074-4032
Phone
(601) 469-2020
NPI assigned
Mar 10, 2008
Last updated
Aug 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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

Authorized official

Name
Janice E Eason
Title
Office Manager
Phone
(601) 469-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 481 MS Primary

Addresses

Primary practice location

516 Airport Rd
Forest, MS 39074-4032

Mailing address

516 Airport Rd
Forest, MS 39074-4032
Phone (601) 469-2020

National Provider Directory

National Provider Directory

Locations

516 Airport Rd
Forest, MS 39074
Phone (601) 469-2020

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345766400000",
    "number": "1871763524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 AIRPORT RD",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390744032",
            "telephone_number": "601-469-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 AIRPORT RD",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390744032",
            "telephone_number": "601-469-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. D. EASON OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2012-08-24",
        "status": "A",
        "authorized_official_last_name": "EASON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-469-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; 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.