KEBERT OPTICAL DISPENSARY
NPI 1003098898
Technician/Technologist - Optician in Mccomb, MS

Active since December 04, 2007
1307 ASTON AVENUE, MCCOMB, MS 39648(601) 684-8118(601) 249-0846 Get Directions Write a Review

NPPES record last updated: March 18, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kebert Optical Dispensary NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEBERT OPTICAL DISPENSARY (NPI 1003098898) is a healthcare organization registered as an optician in Mccomb, Mississippi and active in the NPI registry since December 2007. The organization lists Kent L Kebert, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003098898
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameKEBERT EYE CLINIC PLLC
Location Address1307 ASTON AVENUEMccomb, MS 39648
Mailing Address1307 Aston AvenueMccomb, MS 39648 · (601) 684-8118 · Fax (601) 249-0846
Fax(601) 249-0846
Organization SubpartNo
Authorized OfficialKent L KebertCeo · (601) 684-8118
Enumeration DateDecember 4, 2007
Last NPPES UpdateMarch 18, 2011
✔ NPI 1003098898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
1307 ASTON AVENUE, Mccomb, MS 39648

Other Names 1

Doing Business AsKebert Optical Dispensary

Other Identifiers 2

Medicaid00880090MS
Medicare NSC4337220001MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kebert Optical Dispensary is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20101208000258Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kebert Optical Dispensary, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ophthalmology
NPI 1285632943
1307 ASTON AVE
Mccomb, MS 39648
(601) 684-8118
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kebert Eye Clinic PLLC's NPI number?

The NPI number for Kebert Eye Clinic PLLC is 1003098898. It was assigned to this organization in the NPPES registry on December 4, 2007. The provider is doing business as Kebert Optical Dispensary.

Where is Kebert Eye Clinic PLLC located?

Kebert Eye Clinic PLLC is located at 1307 Aston Avenue, Mccomb, MS 39648. The listed phone number is (601) 684-8118.

What is Kebert Eye Clinic PLLC's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

Is Kebert Eye Clinic PLLC enrolled in Medicare?

Yes. Kebert Eye Clinic PLLC is registered in the Medicare PECOS enrollment system.

When is Kebert Eye Clinic PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kebert Eye Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Kebert Eye Clinic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kebert Eye Clinic PLLC was last updated on March 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.