OLIVE BRANCH EYECARE, PLLC NPI 1003019878

Optometrist in Olive Branch, MS

NPI 1003019878 Organization Optometrist Medicare Supplier Accepts Medicare Approved Payment

About OLIVE BRANCH EYECARE, PLLC

Olive Branch Eyecare, Pllc is a provider established in Olive Branch, Mississippi specializing in optometrist. The NPI number of Olive Branch Eyecare, Pllc is 1003019878 and was assigned on June 2007. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Olive Branch Eyecare, Pllc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. David Lloyd Parker O.d. (Member)

Olive Branch Eyecare, Pllc is a medicare supplier with PTAN 6110010001 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses.

NPI

1003019878

Provider NameOLIVE BRANCH EYECARE, PLLC
Provider Location Address6947 CRUMPLER BLVD SUITE 100 OLIVE BRANCH, MS 38654
Provider Mailing Address6947 CRUMPLER BLVD SUITE 100 OLIVE BRANCH, MS 38654
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-07-2007
Last Update Date09-19-2008


Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
Taxonomy DescriptionDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Business Address

OLIVE BRANCH EYECARE, PLLC
6947 CRUMPLER BLVD
SUITE 100
OLIVE BRANCH, MS
ZIP 38654
Phone: (662) 893-3300

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Mailing Address

OLIVE BRANCH EYECARE, PLLC
6947 CRUMPLER BLVD
SUITE 100
OLIVE BRANCH, MS
ZIP 38654
Phone: (662) 893-3300



Authorized Official

Authorized Official NameDR. DAVID LLOYD PARKER O.D.
Authorized Official TitleMEMBER
Authorized Official Phone(662) 893-3300

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN6110010001
Accepts Medicare AssignmentYES
Specialities ListOptometrist.
Supplies List
  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
Competitive BiddingNO

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
09577062MEDICAID (05)MS
C03787MEDICARE PIN (08)MS
6110010001MEDICARE NSC (07)
DG2594OTHER (01)

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659330231DR. SEAN PHILLIP ALDINGER OD
Individual
Optometrist6947 CRUMPLER BLVD
OLIVE BRANCH, MS 38654
(662) 893-3300
1558321729DR. DAVID LLOYD PARKER O.D.
Individual
Optometrist6947 CRUMPLER BLVD SUITE 100
OLIVE BRANCH, MS 38654
(662) 893-3300
1295081024DR. TIFFANY LI MCELROY O.D.
Individual
Optometrist6947 CRUMPLER BLVD SUITE 100
OLIVE BRANCH, MS 38654
(662) 893-3300
1023460326DR. PRESLEE MAGEE O.D
Individual
Optometrist6947 CRUMPLER BLVD
OLIVE BRANCH, MS 38654
(662) 893-3300
1720161771EYE CARE SURGERY CENTER OF OLIVE BRANCH,LLC
Organization
Clinic/Center (Ambulatory Surgical)6947 CRUMPLER BLVD SUITE 105
OLIVE BRANCH, MS 38654
(662) 893-3305
1962925214 JUSTIN MCELROY OD
Individual
Optometrist6947 CRUMPLER BLVD
OLIVE BRANCH, MS 38654

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.