Individual provider Active NPI

Melissa L Rasmussen, O.D.

  • Optometrist
  • Canton, MS
National Provider Identifier
1992011506
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
818 Issued in MS
Practice address
1185 Hart St
Canton, MS 39046-4805
Phone
(601) 605-2259
Fax
(601) 856-0195
NPI assigned
Aug 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 818 MS Primary

Addresses

Primary practice location

1185 Hart St
Canton, MS 39046-4805

Mailing address

1185 Hart St
Canton, MS 39046-4805
Phone (601) 605-2259

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
I20110121000253 MS Practitioner - Optometry 3870772981 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Madison Professional Eyecare Associates IncGroup PAC ID 1052319118, 8 clinicians
Professional Eyecare Associates of Yazoo City, PAGroup PAC ID 7214007012, 5 clinicians

Practice addresses (Care Compare)

228 Garden Park Dr
Madison, MS 39110-5505
Phone (601) 605-2259

728 E 15TH St
Yazoo City, MS 39194-2706
Phone (662) 746-4312

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
818MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon Professional Eyecare Associates, Inc. Optometrist CurrentSince Nov 1, 2014 Accepting new patients
Professional Eyecare Associates of Yazoo City, PA Optometrist CurrentSince Sep 21, 2010 Accepting new patients
Madison Professional Eyecare Associates, Inc Optometrist CurrentSince Sep 21, 2010 Accepting new patients
Professional Eyecare Associates ,Inc Optometrist CurrentSince Sep 21, 2010 Accepting new patients
Canton Vision Clinic, P.a. Optometrist CurrentSince Sep 21, 2010 Accepting new patients

Locations

1390 W Government St
Ste C
Brandon, MS 39042
Phone (601) 825-8300

1185 Hart St
Canton, MS 39046
Phone (601) 859-3464

224 Waterford Sq
Madison, MS 39110
Phone (601) 605-2259

228 Garden Park Dr
Madison, MS 39110
Phone (601) 605-2259

6704 Old Canton Rd
Ridgeland, MS 39157
Phone (601) 957-9292

728 E Fifteenth St
Yazoo City, MS 39194
Phone (662) 332-3325

Organizations & group practices 5

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": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1992011506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 HART ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390464805",
            "telephone_number": "601-605-2259",
            "fax_number": "601-856-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 HART ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390464805",
            "telephone_number": "601-605-2259",
            "fax_number": "601-856-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "MELISSA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MS

Sources for this page

Verify at the official NPI Registry.