Organization Active NPI

Contact Care Optical

  • Optician
  • Jackson, MS
National Provider Identifier
1922283852
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
CONTACT CARE OPTICAL
Practice address
4531 Highway 80 W
Jackson, MS 39209-4806
Phone
(601) 922-8282
Fax
(601) 922-8052
NPI assigned
Jan 9, 2008
Last updated
Jan 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Mr. Glynn E. Jones Sr.NPI 1154530681
Title
Owner
Phone
(601) 922-8282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

Primary practice location

4531 Highway 80 W
Jackson, MS 39209-4806

Mailing address

4531 Highway 80 W
Jackson, MS 39209-4806
Phone (601) 922-8282

Other identifiers 1

IdentifierTypeStateIssuer
00880219MedicaidMS

National Provider Directory

National Provider Directory

Locations

4531 Highway 80 W
Jackson, MS 39209
Phone (601) 922-8282

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": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1922283852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 HIGHWAY 80 W",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392094806",
            "telephone_number": "601-922-8282",
            "fax_number": "601-922-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 HIGHWAY 80 W",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392094806",
            "telephone_number": "601-922-8282",
            "fax_number": "601-922-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTACT CARE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GLYNN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-922-8282",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880219",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.