MIDSOUTH VISION SERVICE
NPI 1407552219
Optometrist in Iuka, MS

Q: What is Midsouth Vision Service's NPI number?

The NPI number for Midsouth Vision Service is 1407552219. It was assigned to this organization in the NPPES registry on February 2, 2023.

Q: What is Midsouth Vision Service's specialty?

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

Active since February 02, 2023

8 COUNTY ROAD 197, IUKA, MS 38852(662) 423-7619(662) 423-2849 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2023, Feb 23, 2023, Feb 2, 2023 (3 updates tracked since 2023).

On this page

About Midsouth Vision Service NPPES

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

MIDSOUTH VISION SERVICE (NPI 1407552219) is a healthcare organization registered as an optometrist in Iuka, Mississippi and active in the NPI registry since February 2023. The organization maintains a secondary practice location in Iuka and lists Phillip Adam Gray, Owner/optometrist, as its authorized official.

NPPES Registry Identity

NPI1407552219

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameMIDSOUTH VISION SERVICE

Location Address8 COUNTY ROAD 197Iuka, MS 38852-8148

Mailing Address8 County Road 197Iuka, MS 38852-8148 · (662) 423-7619 · Fax (662) 423-2849

Phone(662) 423-7619

Fax(662) 423-2849

Organization SubpartNo

Authorized OfficialPhillip Adam GrayOwner/optometrist · (662) 423-7619

Enumeration DateFebruary 2, 2023

Last NPPES UpdateMarch 6, 20233 updates tracked since enumeration

NPPES CertifiedMarch 6, 2023

✔ NPI 1407552219 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.

8 COUNTY ROAD 197, Iuka, MS 38852

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Secondary Practice Location 1

Location 1105 S Fulton StIuka, MS 38852-2328 · Phone (662) 423-3785 · Fax (662) 423-2849

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Midsouth Vision Service 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 Midsouth Vision Service, which bills Medicare for the services this clinician delivers.

Clinician (1)

Phillip Gray, O. D.

Optometry

NPI 1518980051

105 S FULTON ST
Iuka, MS 38852

(662) 423-3785

✔ PECOS✔ Accepts Medicare2.4 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 Midsouth Vision Service's NPI number?

The NPI number for Midsouth Vision Service is 1407552219. It was assigned to this organization in the NPPES registry on February 2, 2023.

Where is Midsouth Vision Service located?

Midsouth Vision Service is located at 8 County Road 197, Iuka, MS 38852. The listed phone number is (662) 423-7619.

What is Midsouth Vision Service's specialty?

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

Is Midsouth Vision Service enrolled in Medicare?

Yes. Midsouth Vision Service is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Midsouth Vision Service?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Midsouth Vision Service. 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.

When was this NPI record last updated?

The NPPES record for Midsouth Vision Service was last updated on March 6, 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.