Individual provider Active NPI

Michael L Presley, O.D.

  • Optometrist
  • Belden, MS
National Provider Identifier
1972693992
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
729 Issued in MS
Practice address
2885 McCullough Blvd.
Suite F
Belden, MS 38826-9022
Phone
(662) 791-0454
Fax
(662) 791-0464
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 729 MS Primary

Addresses

Primary practice location

2885 McCullough Blvd.
Suite F
Belden, MS 38826-9022

Mailing address

113 Windsong Circle
Belden, MS 38826-8861
Phone (662) 213-5877

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050114000584 MS Practitioner - Optometry 0840249009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2885 McCullough Blvd
Suite F
Belden, MS 38826-9022
Phone (662) 791-0454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
729MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Presley Eye Care, PLLC Optometrist CurrentSince Jun 26, 2013 Accepting new patients

Locations

2885 McCullough Blvd
Ste F
Belden, MS 38826
Phone (662) 534-4217

202 Park Plaza Dr
New Albany, MS 38652
Phone (662) 534-1859

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1972693992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WINDSONG CIRCLE",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388268861",
            "telephone_number": "662-213-5877",
            "fax_number": "662-534-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 MCCULLOUGH BLVD.",
            "address_2": "SUITE F",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388269022",
            "telephone_number": "662-791-0454",
            "fax_number": "662-791-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESLEY",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belden, MS

Sources for this page

Verify at the official NPI Registry.