New Albany Vision Clinic, P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NEW ALBANY VISION CLINIC, P.A.

Practice address

484 W Bankhead St
New Albany, MS 38652-3319

Phone

(662) 534-0101

Fax

(662) 534-8005

NPI assigned

Feb 12, 2009

Last updated

Feb 12, 2009By 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. Robin Bennett, ODNPI 1700986452

Title

President

Phone

(662) 534-0101

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, and the practitioner matching its NPPES authorized official.

• Robin D Bennett, O.D.

  • Optometrist
  • New Albany, MS
  • NPI 1700986452
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1891934931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 W BANKHEAD ST",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523319",
            "telephone_number": "662-534-0101",
            "fax_number": "662-534-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 W BANKHEAD ST",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523319",
            "telephone_number": "662-534-0101",
            "fax_number": "662-534-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ALBANY VISION CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-534-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Jessica Nanney, FNP-C
• New Albany Medical Clinic
• New Albany OB/GYN Clinic PC
• New Albany Surgical Group PA
• New Albany Urology, PLLC
• North Delta Hospice of New Albany LLC
• North Mississippi Allergy and Asthma Center PLLC (North Mississippi Allergy and Asthma Center)
• North Mississippi Foot Specialists PC
• North Mississippi Medical Clinics Inc (New Albany Medical Clinic)
• North Mississippi Primary Health Care, Inc. (New Albany Health Care Associates)

• Clinic/Center in New Albany, MS
• Providers in New Albany, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.