CANTON VISION CLINIC, P.A.
NPI 1174607477
Optometrist in Canton, MS

Active since October 24, 2006CLIA 25D2000811 · Waiver
1185 HART ST, CANTON, MS 39046(601) 859-3464(601) 859-9003 Get Directions Write a Review

NPPES record last updated: September 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1174607477
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCANTON VISION CLINIC, P.A.
Location Address1185 HART STCanton, MS 39046-4805
Mailing Address1185 Hart StCanton, MS 39046-4805 · (601) 859-3464 · Fax (601) 859-9003
Fax(601) 859-9003
Organization SubpartNo
Authorized OfficialJames W BeardenOwner · (601) 859-3464
Enumeration DateOctober 24, 2006
Last NPPES UpdateSeptember 16, 2014
NPI 1174607477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
1185 HART ST, Canton, MS 39046

Other Identifiers 2

Medicare NSC6268030001MS
Medicaid03380062MS

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

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, MS
Active · expires Dec 6, 2027
CLIA Number25D2000811
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2025
Certificate Expiration DateDecember 6, 2027
Laboratory DirectorWilliam B. Craig
Laboratory Phone(601) 859-3464
Laboratory LocationCanton Vision Clinic PA1185 Hart Street, Canton, MS 39046
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical 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, MS

Accepts 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.

PTAN (Medicare Supplier Number)20573783
Medicare Participant SinceMay 10, 2006
Supplier Location1185 Hart StCanton, MS 39046
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1185 HART ST
CANTON, MS 39046
Optometrist
1185 HART ST
CANTON, MS 39046
Optometrist
1185 HART ST
CANTON, MS 39046
Optometrist
1185 HART ST
CANTON, MS 39046
Optometrist
1185 HART ST
CANTON, MS 39046

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.

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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 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 11 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.