Dax M Eckard, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

644 Issued in MS

Practice address

3353 N Gloster St
Tupelo, MS 38804-9735

Phone

(662) 844-3555

Fax

(662) 840-5614

NPI assigned

May 24, 2005

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mothershed Optometry Associates PLLC 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

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 and National Provider Directory roles.

• Mothershed Optometry Associates PLLC

  • Optometrist
  • Tupelo, MS
  • NPI 1831140300

  MS, Optometrist

  Medicare reassignment Care Compare group NPD
• Eye Care Group, PLLC

  • Eyewear Supplier
  • Humboldt, TN
  • NPI 1881620169

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1932102779",
    "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": {
        "last_name": "ECKARD",
        "first_name": "DAX",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05679035",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lenore Eaton, BSWCM
• Dana Ebb, DO
• David M Eble, CRNA
• Krystal Echoles, PCMHT
• Lajaysha Echoles, FNP-BC
• Elizabeth Eckard, O.D.
• Walter W Eckman, M.D.
• Ed Holliday, D.M.D., Inc.
• Katherine E Ederer, PMHNP
• Lindsay Claire Edmondson, NURSE PRACTITIONER

• All providers in Tupelo, MS
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.