Active NPI
Wesson Ophthalmology Associates P.L.L.C.
- Specialist
- Tupelo, MS
National Provider Identifier
1912958489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- WESSON OPHTHALMOLOGY ASSOCIATES P.L.L.C.
- Practice address
- 3353 N Gloster St
Tupelo, MS 38804-9735 - Phone
- (662) 844-3555
- Fax
- (662) 840-5614
- NPI assigned
- May 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sondra Byrd
- Title
- Business Office Manager
- Phone
- (662) 844-3555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
3353 N Gloster St
Tupelo, MS 38804-9735
Mailing address
3353 N Gloster St
Tupelo, MS 38804-9735
Phone (662) 844-3555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09016272 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050509000663 | MS | Part B Supplier - Clinic/Group Practice | 1153361282 |
Receives reassigned benefits from 4 practitioners Practice locations: Tupelo, MS |
National Provider Directory
National Provider DirectoryLocations
3353 N Gloster St
Tupelo, MS 38804
Phone (662) 844-3555
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Pontotoc, MS
- NPI 1407631492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276041600000",
"number": "1912958489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3353 N GLOSTER ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388049735",
"telephone_number": "662-844-3555",
"fax_number": "662-840-5614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3353 N GLOSTER ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388049735",
"telephone_number": "662-844-3555",
"fax_number": "662-840-5614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESSON OPHTHALMOLOGY ASSOCIATES P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2010-06-09",
"status": "A",
"authorized_official_last_name": "BYRD",
"authorized_official_first_name": "SONDRA",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "662-844-3555"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09016272",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.