MISSISSIPPI EYE CARE ASSOCIATES OF JACKSON, PLLC
NPI 1366697799
Optometrist in Jackson, MS

Active since November 26, 2008
310 WEST WOODROW WILSON AVENUE, SUITE 300, JACKSON, MS 39213(601) 366-9020(601) 321-3979 Get Directions Write a Review

NPPES record last updated: December 8, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mississippi Eye Care Associates Of Jackson, Pllc NPPES

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

MISSISSIPPI EYE CARE ASSOCIATES OF JACKSON, PLLC (NPI 1366697799) is a healthcare organization registered as an optometrist in Jackson, Mississippi and active in the NPI registry since November 2008. The organization lists Christopher Terrell Bullin, Owner, as its authorized official.

NPPES Registry Identity

NPI1366697799
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMISSISSIPPI EYE CARE ASSOCIATES OF JACKSON, PLLC
Location Address310 WEST WOODROW WILSON AVENUE, SUITE 300Jackson, MS 39213-7662
Mailing Address310 West Woodrow Wilson Drive, Suite 300Jackson, MS 39213-7662 · (601) 366-9020 · Fax (601) 321-3979
Fax(601) 321-3979
Organization SubpartNo
Authorized OfficialChristopher Terrell BullinOwner · (601) 366-9020
Enumeration DateNovember 26, 2008
Last NPPES UpdateDecember 8, 2016
✔ NPI 1366697799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MS · 783
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.
Also ListedEyewear SupplierTaxonomy 332H00000X · License 783 (MS)
310 WEST WOODROW WILSON AVENUE, Jackson, MS 39213

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

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)

Mississippi Eye Care Associates Of Jackson, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 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.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20090324000450Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mississippi Eye Care Associates Of Jackson, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1457541450
350 W WOODROW WILSON AVE SUITE 3110
Jackson, MS 39213
(601) 366-9020
✔ PECOS✔ Accepts Medicare0.2 mi
Optometry
NPI 1225849268
12457 TIMBERLAND BLVD STE 201
Fort Worth, TX 76244
(817) 741-4177
✔ PECOS✔ Accepts Medicare415 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 Mississippi Eye Care Associates Of Jackson, PLLC's NPI number?

The NPI number for Mississippi Eye Care Associates Of Jackson, PLLC is 1366697799. It was assigned to this organization in the NPPES registry on November 26, 2008.

Where is Mississippi Eye Care Associates Of Jackson, PLLC located?

Mississippi Eye Care Associates Of Jackson, PLLC is located at 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213. The listed phone number is (601) 366-9020.

What is Mississippi Eye Care Associates Of Jackson, PLLC's specialty?

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

Is Mississippi Eye Care Associates Of Jackson, PLLC enrolled in Medicare?

Yes. Mississippi Eye Care Associates Of Jackson, PLLC is registered in the Medicare PECOS enrollment system.

When is Mississippi Eye Care Associates Of Jackson, PLLC'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 November 30, 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 Mississippi Eye Care Associates Of Jackson, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Mississippi Eye Care Associates Of Jackson, 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mississippi Eye Care Associates Of Jackson, 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 5 other insurers list Mississippi Eye Care Associates Of Jackson, 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 Mississippi Eye Care Associates Of Jackson, PLLC was last updated on December 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.