Organization Active NPI

Natchez Opital

  • Optometrist
  • Natchez, MS
National Provider Identifier
1922279959
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
07891 Issued in MS
Legal business name
NATCHEZ OPITAL
Practice address
453 John R Junkin Dr
Natchez, MS 39120-3825
Phone
(601) 445-2164
Fax
(318) 446-8185
NPI assigned
Mar 18, 2008
Last updated
Mar 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Patrick A Duffy, MDNPI 1588650329
Title
MD
Phone
(601) 445-2164

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 07891 MS Primary

Addresses

Primary practice location

453 John R Junkin Dr
Natchez, MS 39120-3825

Mailing address

453 John R Junkin Dr
Natchez, MS 39120-3825
Phone (601) 445-2164

Other identifiers 1

IdentifierTypeStateIssuer
00880176MedicaidMS

Other names 1

  • Patrick A Duffy, MD Former legal business name

National Provider Directory

National Provider Directory

Locations

453 John R Junkin Dr
Natchez, MS 39120
Phone (601) 445-2164

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1922279959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 JOHN R JUNKIN DR",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391203825",
            "telephone_number": "601-445-2164",
            "fax_number": "318-446-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 JOHN R JUNKIN DR",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391203825",
            "telephone_number": "601-445-2164",
            "fax_number": "318-446-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATCHEZ OPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "601-445-2164",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "07891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880176",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patrick A Duffy, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.