David M Holifield, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

822 Issued in MS

Practice address

303 S Archusa Ave
Quitman, MS 39355-0690

Phone

(601) 776-6988

Fax

(601) 776-6989

NPI assigned

Jul 27, 2010

Last updated

Dec 22, 2011By 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

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Clinic of Quitman PLLCGroup PAC ID 6608277355, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Clinic of Quitman PLLC

  • Optometrist
  • Quitman, MS
  • NPI 1396474144
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1922312388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690",
            "city": "QUITMAN",
            "state": "MS",
            "postal_code": "393550690",
            "telephone_number": "601-776-6988",
            "fax_number": "601-776-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S ARCHUSA AVE",
            "city": "QUITMAN",
            "state": "MS",
            "postal_code": "393550690",
            "telephone_number": "601-776-6988",
            "fax_number": "601-776-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLIFIELD",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08128514",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenn M Cochran OD PLLC
• Hammack Drugs, LLC
• Bobby Harris
• Heavenly in Homecare LLC
• Heritage Family Dental
• Mary Ann Hollingsworth, LPC. NCC, DCC
• Patsy Lenan Holloway, FNP BC
• Hospice Care Group, LLC
• Jones Family Medicine Clinic, PLLC (JFMC Quitman Medical, LLC)
• Laboratory Corporation of America Holdings

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.