David V Obrien, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

426 Issued in MS

Practice address

426 E Main St
Charleston, MS 38921-2413

Phone

(662) 647-8707

Fax

(662) 647-8706

NPI assigned

Nov 27, 2007

Last updated

Mar 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Obreineyecare

  • Optometrist
  • Southaven, MS
  • NPI 1144388539
  Authorized official Same address or phone
• Obrien Eye Care

  • Optometrist
  • Charleston, MS
  • NPI 1528249497
  NPD (past) Authorized official
• Charleston Vision Center PA

  • Optometrist
  • Charleston, MS
  • NPI 1932440138
  NPD (past)

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1891977393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 E MAIN ST",
            "city": "CHARLESTON",
            "state": "MS",
            "postal_code": "389212413",
            "telephone_number": "662-647-8707",
            "fax_number": "662-647-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 E MAIN ST",
            "city": "CHARLESTON",
            "state": "MS",
            "postal_code": "389212413",
            "telephone_number": "662-647-8707",
            "fax_number": "662-647-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "DAVID",
        "middle_name": "V",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087700",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Miller, LCSW
• Mississippi State Department
• Lisa Renee Moore, LCSW
• Catherine Moring, RD
• Obrien Eye Care
• Samuel Pullen, FNP-C
• Ronal Roberson, DMD
• Angela C Rounds
• Angela Bailey Rowsey
• Anne Wilson Selby, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.