CANTON VISION CLINIC, P.A.
NPI 1174607477
Optometrist in Canton, MS
About Canton Vision Clinic, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANTON VISION CLINIC, P.A. (NPI 1174607477) is a healthcare organization registered as an optometrist in Canton, Mississippi and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through December 6, 2027 and lists James W Bearden, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
Canton Vision Clinic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 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
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Canton Vision Clinic, P.A., which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
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 25D2000811
Canton Vision Clinic PA · Canton, MSMedical Equipment Supplier Medicare DMEPOS 3
Medicare supplier enrollment and the product categories Canton Vision Clinic PA carries, from the Medicare DMEPOS supplier directory.
Canton Vision Clinic PA
DMEPOS supplier · Canton, MSAccepts Medicare assignment
Canton Vision Clinic PA agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 Canton Vision Clinic, P.A.'s NPI number?
The NPI number for Canton Vision Clinic, P.A. is 1174607477. It was assigned to this organization in the NPPES registry on October 24, 2006.
Where is Canton Vision Clinic, P.A. located?
Canton Vision Clinic, P.A. is located at 1185 Hart St, Canton, MS 39046. The listed phone number is (601) 859-3464.
What is Canton Vision Clinic, P.A.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Canton Vision Clinic, P.A. enrolled in Medicare?
Yes. Canton Vision Clinic, P.A. is registered in the Medicare PECOS enrollment system.
When is Canton Vision Clinic, P.A.'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 December 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 Canton Vision Clinic, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Canton Vision Clinic, P.A.. 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. The largest specialties are Optometry (9) and Ophthalmology (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Canton Vision Clinic, P.A. accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Canton Vision Clinic PA accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
Does Canton Vision Clinic, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2000811) is associated with this NPI, valid through December 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Canton Vision Clinic, P.A. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 8 other insurers list Canton Vision Clinic, P.A. 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 Canton Vision Clinic, P.A. was last updated on September 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Canton Vision Clinic, P.a. · NPI 1174607477
Optometrist organization in Canton, Mississippi. Organization record, active in the CMS NPPES registry since October 24, 2006.
## Identity
- **NPI:** 1174607477 (Entity type: Organization)
- **Enumerated:** October 24, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** James Bearden, OWNER
## Practice location
- **Address:** 1185 HART ST, Canton, MS 39046-4805
- **Phone:** (601) 859-3464 · **Fax:** (601) 859-9003
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Optometry (9), Ophthalmology (1); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2014
- **Other identifiers:** Medicare NSC 6268030001 (MS); Medicaid 03380062 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174607477) · Data from the CMS NPPES public registry.