Active NPI
Mississippi Vision Correction Center, PLLC
- Specialist
- Flowood, MS
National Provider Identifier
1962412429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- MISSISSIPPI VISION CORRECTION CENTER, PLLC
- Practice address
- 1053 River Oaks Dr
Flowood, MS 39232-9595 - Phone
- (601) 969-1430
- Fax
- (601) 709-2117
- NPI assigned
- Aug 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leslie B Aden, M.D.
- Title
- Managing Partner
- Phone
- (601) 969-1430
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1053 River Oaks Dr
Flowood, MS 39232-9595
Mailing address
1053 River Oaks Dr
Flowood, MS 39232-9595
Phone (601) 969-1430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9015463 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Flowood, MS
- NPI 1700805363
-
- Ophthalmology Physician
- Flowood, MS
- NPI 1629418066
-
- Ophthalmology Physician
- McComb, MS
- NPI 1376631556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1962412429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1053 RIVER OAKS DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329595",
"telephone_number": "601-969-1430",
"fax_number": "601-709-2117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1053 RIVER OAKS DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329595",
"telephone_number": "601-969-1430",
"fax_number": "601-709-2117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSISSIPPI VISION CORRECTION CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-08",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "ADEN",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "601-969-1430",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9015463",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.