Routt Eye Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

License

471 Issued in MS

Legal business name

ROUTT EYE CLINIC

Practice address

107 S Natchez St
Kosciusko, MS 39090-3741

Phone

(662) 289-4131

Fax

(662) 289-5348

NPI assigned

Jan 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence Adrian Routt, O.D.NPI 1245219245

Title

Optometrist

Phone

(662) 289-4131

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lawrence Adrian Routt Sr., O.D.

  • Optometrist
  • Kosciusko, MS
  • NPI 1245219245

  O20100930046054

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Lawrence Adrian Routt Sr., O.D.

  • Optometrist
  • Kosciusko, MS
  • NPI 1245219245
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1942487558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S NATCHEZ ST",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S NATCHEZ ST",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903741",
            "telephone_number": "662-289-4131",
            "fax_number": "662-289-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUTT EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "ROUTT",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ADRIAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "662-289-4131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087888",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brady L Richardson, MD
• Breck T Richardson, M.D.
• Allison Roach
• Robin Pee Counseling & Consulting LLC
• Ronnie S. Christian, MD, P. C.
• Lawrence Adrian Routt Sr., O.D.
• Jessica Wynne Rush
• Gabrille Lakeshia Sanders
• Tiara N Sanders, NP
• Rebecca Shields, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.