OXFORD EYE CLINIC & OPTICAL, PLLC
NPI 1154833572
Optometrist in Oxford, MS
About Oxford Eye Clinic & Optical, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OXFORD EYE CLINIC & OPTICAL, PLLC (NPI 1154833572) is a healthcare organization registered as an optometrist in Oxford, Mississippi and active in the NPI registry since October 2017. The organization lists Ryan Shelton Wally, Optometrist/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Oxford Eye Clinic & Optical, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Oxford Eye Clinic & Optical, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Oxford Eye Clinic & Optical, PLLC's NPI number?
The NPI number for Oxford Eye Clinic & Optical, PLLC is 1154833572. It was assigned to this organization in the NPPES registry on October 25, 2017.
Where is Oxford Eye Clinic & Optical, PLLC located?
Oxford Eye Clinic & Optical, PLLC is located at 2167 S Lamar Blvd, Oxford, MS 38655. The listed phone number is (662) 234-6683.
What is Oxford Eye Clinic & Optical, PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Oxford Eye Clinic & Optical, PLLC enrolled in Medicare?
Yes. Oxford Eye Clinic & Optical, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Oxford Eye Clinic & Optical, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Oxford Eye Clinic & Optical, 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Oxford Eye Clinic & Optical, PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 6 other insurers list Oxford Eye Clinic & Optical, PLLC 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 Oxford Eye Clinic & Optical, PLLC was last updated on October 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Oxford Eye Clinic & Optical, Pllc · NPI 1154833572
Optometrist organization in Oxford, Mississippi. Organization record, active in the CMS NPPES registry since October 25, 2017.
## Identity
- **NPI:** 1154833572 (Entity type: Organization)
- **Enumerated:** October 25, 2017
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Ryan Wally, OPTOMETRIST/OWNER
## Practice location
- **Address:** 2167 S LAMAR BLVD, Oxford, MS 38655-5223
- **Phone:** (662) 234-6683 · **Fax:** (662) 234-4413
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1154833572) · Data from the CMS NPPES public registry.