Jason M. Beddingfield, O.D.
Individual provider Active NPI Optometrist · Laurel, MS
NPI 1932113404 · NPPES record last updated Jan 27, 2022
Key facts
- NPI
- 1932113404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 763 (MS)
- Practice address
- 1538 Old Amy Rd
Laurel, MS 39440-2138 - Phone
- (601) 649-4106
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1538 Old Amy Rd
Laurel, MS 39440-2138
Phone (601) 649-4106
1620 Hwy 15 N
Suite A1
Laurel, MS 39440-1892
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 173 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061011000669 | MS | Practitioner - Optometry | 4880690015 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 763 | MS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Eye Physicians Center, LLC | Current |
Accepting new patients | |
| Laurel Eye Clinic, PC | Optometrist | Current |
Accepting new patients |
Locations
1420 S 28th Ave
Hattiesburg, MS 39402
Phone (601) 264-3937
1538 Old Amy Rd
Laurel, MS 39440
Phone (601) 649-4106
1620 Highway 15 N
Ste A1
Laurel, MS 39440
Phone (601) 649-2151
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 763 | MS | Yes |
Addresses
Primary practice location
1538 Old Amy Rd
Laurel, MS 39440-2138
Mailing address
1538 Old Amy Rd
Laurel, MS 39440-2138
Other providers in Laurel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.