COLDWATER VISION CENTER LLC
NPI 1003952383
Optometrist in Coldwater, MS
About Coldwater Vision Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLDWATER VISION CENTER LLC (NPI 1003952383) is a healthcare organization registered as an optometrist in Coldwater, Mississippi and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 27, 2027 and lists Kristopher Alan May, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
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)
Coldwater Vision Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
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.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Coldwater Vision Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2056531
Coldwater Vision Center · Coldwater, MSFrequently 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 Coldwater Vision Center LLC's NPI number?
The NPI number for Coldwater Vision Center LLC is 1003952383. It was assigned to this organization in the NPPES registry on January 30, 2007.
Where is Coldwater Vision Center LLC located?
Coldwater Vision Center LLC is located at 412 Central Avenue, Coldwater, MS 38618. The listed phone number is (662) 622-5173.
What is Coldwater Vision Center LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Coldwater Vision Center LLC enrolled in Medicare?
Yes. Coldwater Vision Center LLC is registered in the Medicare PECOS enrollment system.
When is Coldwater Vision Center LLC'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 October 31, 2026. 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 Coldwater Vision Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Coldwater Vision Center LLC. 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. Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Coldwater Vision Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2056531) is associated with this NPI, valid through March 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Coldwater Vision Center LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 10 other insurers list Coldwater Vision Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Coldwater Vision Center LLC was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Coldwater Vision Center Llc · NPI 1003952383
Optometrist organization in Coldwater, Mississippi. Organization record, active in the CMS NPPES registry since January 30, 2007.
## Identity
- **NPI:** 1003952383 (Entity type: Organization)
- **Enumerated:** January 30, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Kristopher May, OWNER
## Practice location
- **Address:** 412 CENTRAL AVENUE, Coldwater, MS 38618
- **Phone:** (662) 622-5173 · **Fax:** (662) 622-5590
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2008
- **Other identifiers:** Medicare ID-Type Unspecified C03074 (MS); Medicaid 08152004 (MS); Medicare NSC 5405940001 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003952383) · Data from the CMS NPPES public registry.