Justin McElroy, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

962 Issued in MS

Practice address

6947 Crumpler Blvd
Olive Branch, MS 38654-1922

Phone

(662) 893-3300

Fax

(662) 893-3301

NPI assigned

Jul 19, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care AssociatesGroup PAC ID 5395761910, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Care Associates

  • Optometrist
  • Laurel, MS
  • NPI 1104039312
  Medicare reassignment Care Compare group NPD
• Horn Lake Eyecare PLLC

  • Optometrist
  • Horn Lake, MS
  • NPI 1609116581
  Medicare reassignment NPD
• Eye Care Associates

  • Eyewear Supplier
  • Waynesboro, MS
  • NPI 1811125925
  NPD

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962925214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6947 CRUMPLER BLVD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541922",
            "telephone_number": "662-893-3300",
            "fax_number": "662-893-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6947 CRUMPLER BLVD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541922",
            "telephone_number": "662-893-3300",
            "fax_number": "662-893-3301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2085 Goodman Rd W",
            "address_purpose": "LOCATION",
            "city": "Horn Lake",
            "state": "MS",
            "postal_code": "386371416",
            "country_code": "US",
            "telephone_number": "662-393-9311",
            "fax_number": "662-470-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "JUSTIN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI STATE BOARD OF OPTOMETRY",
            "identifier": "962",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McClatchy Medical Center
• William Hardee McClatchy, MD
• Mary Elizabeth McCollum, P-LPC
• Allison Tucker McCulley
• Alexis Summerville McDavis
• Tiffany Li McElroy, O.D.
• Lachandra Tomica McFarland, M.S.CCC-SLP
• Gloria McGaughy
• Heather McGee
• Queen McGhee, APN

• Optometrist in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.