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WELLS VISION LLC
NPI 1164920484
Optometrist in Brookhaven, MS

Active since February 01, 2018
960 BROOKWAY BLVD, BROOKHAVEN, MS 39601(601) 823-4494 Get Directions Write a Review

NPPES record last updated: February 1, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wells Vision Llc NPPES

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

WELLS VISION LLC (NPI 1164920484) is a healthcare organization registered as an optometrist in Brookhaven, Mississippi and active in the NPI registry since February 2018. The organization lists Channing Wells, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1164920484
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameWELLS VISION LLC
Location Address960 BROOKWAY BLVDBrookhaven, MS 39601-2644
Mailing Address1390 Moses RdRaymond, MS 39154-8943 · (601) 946-5492
Phone(601) 823-4494
Organization SubpartNo
Authorized OfficialChanning WellsOptometrist · (601) 946-5492
Enumeration DateFebruary 1, 2018
✔ NPI 1164920484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MS · 916
Definition
Doctors 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.
960 BROOKWAY BLVD, Brookhaven, MS 39601
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Other Identifiers 1

Medicaid04802528MS

Group Practice 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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)

Wells Vision Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wells Vision LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Channing Wells, O.D.
Optometry
NPI 1326438706
2711 GREENWAY DR SUITE A
Jackson, MS 39204
(601) 922-9300
✔ PECOS50 mi

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 Wells Vision LLC's NPI number?

The NPI number for Wells Vision LLC is 1164920484. It was assigned to this organization in the NPPES registry on February 1, 2018.

Where is Wells Vision LLC located?

Wells Vision LLC is located at 960 Brookway Blvd, Brookhaven, MS 39601. The listed phone number is (601) 823-4494.

What is Wells Vision LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Wells Vision LLC enrolled in Medicare?

Yes. Wells Vision LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wells Vision LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Wells Vision 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wells Vision 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 3 other insurers list Wells Vision 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 Wells Vision LLC was last updated on February 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.