Organization Active NPI

Midsouth Eye Associates PLLC

Doing business as Essential Eyes

  • Optometrist
  • Columbia, TN
National Provider Identifier
1932835337
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MIDSOUTH EYE ASSOCIATES PLLC
Doing business as
Essential Eyes
Practice address
1940 Shady Brook St Ste E
Columbia, TN 38401-3989
Phone
(931) 380-2660
NPI assigned
Jul 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Dr. Stephanie Price, ODNPI 1659386035
Title
Owner
Phone
(931) 380-2660

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1940 Shady Brook St Ste E
Columbia, TN 38401-3989

Mailing address

1940 Shady Brook St Ste E
Columbia, TN 38401-3989
Phone (931) 380-2660

Other names 1

  • ESSENTIAL EYES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220810002829 TN Part B Supplier - Clinic/Group Practice 8820471782 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, TN

National Provider Directory

National Provider Directory

Locations

1940 Shady Brook St
#E
Columbia, TN 38401
Phone (931) 215-8060

1940E Shady Brook St
Columbia, TN 38401
Phone (931) 380-2660

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1932835337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 SHADY BROOK ST STE E",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013989",
            "telephone_number": "931-380-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 SHADY BROOK ST STE E",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013989",
            "telephone_number": "931-380-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH EYE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-380-2660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESSENTIAL EYES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.