Eye & Laser Center of Starkville PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

16037 Issued in MS

Legal business name

EYE & LASER CENTER OF STARKVILLE PLLC

Practice address

100 Walker Way
Starkville, MS 39759-6607

Phone

(662) 320-6555

Fax

(662) 320-6566

NPI assigned

Jun 15, 2018

Organization subpart

No

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

Authorized official

Name

Dr. James Samuel Brown III, MD

Title

Owner

Phone

(662) 320-6555

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1891289708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WALKER WAY",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397596607",
            "telephone_number": "662-320-6555",
            "fax_number": "662-320-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WALKER WAY",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397596607",
            "telephone_number": "662-320-6555",
            "fax_number": "662-320-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE & LASER CENTER OF STARKVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-320-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "16037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126317",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1336231489",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1689703324",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Starkville, MS
• Providers in Starkville, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.