NPIMap

Organization Active NPI

Hattiesburg Eye Clinic PA

  • Optometrist
  • Petal, MS
National Provider Identifier
1962679043
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HATTIESBURG EYE CLINIC PA
Practice address
1223 Hwy 42
Ste 140
Petal, MS 39465
Phone
(601) 445-0226
Fax
(601) 450-2264
NPI assigned
May 8, 2008
Last updated
May 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Stoney Williamson, MDNPI 1487762001
Title
President
Phone
(601) 268-5910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1223 Hwy 42
Ste 140
Petal, MS 39465

Mailing address

100 Hospital Dr W
Hattiesburg, MS 39402-1334
Phone (601) 268-5910

National Provider Directory

National Provider Directory
Tax ID family
Hattiesburg Eye Clinic5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1223 Highway 42
Ste 140
Petal, MS 39465
Phone (601) 445-0226

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1962679043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR W",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021334",
            "telephone_number": "601-268-5910",
            "fax_number": "601-264-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 HWY 42",
            "address_2": "STE 140",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "39465",
            "telephone_number": "601-445-0226",
            "fax_number": "601-450-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATTIESBURG EYE CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "STONEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-268-5910",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petal, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.