20-20 EYECARE OF GRENADA PA
NPI 1497025183
Optometrist in Grenada, MS

Active since January 11, 2012
600 OLD HICKORY RD, GRENADA, MS 38901(662) 226-7010(662) 226-7027 Get Directions Write a Review

NPPES record last updated: April 26, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About 20-20 Eyecare Of Grenada Pa NPPES

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

20-20 EYECARE OF GRENADA PA (NPI 1497025183) is a healthcare organization registered as an optometrist in Grenada, Mississippi and active in the NPI registry since January 2012. The organization lists Christopher T Walls, Owner, as its authorized official.

NPPES Registry Identity

NPI1497025183
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business Name20-20 EYECARE OF GRENADA PA
Location Address600 OLD HICKORY RDGrenada, MS 38901-2727
Mailing Address600 Old Hickory RdGrenada, MS 38901-2727 · (662) 226-7010 · Fax (662) 226-7027
Fax(662) 226-7027
Organization SubpartNo
Authorized OfficialChristopher T WallsOwner · (662) 226-7010
Enumeration DateJanuary 11, 2012
Last NPPES UpdateApril 26, 2012
✔ NPI 1497025183 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.
600 OLD HICKORY RD, Grenada, MS 38901

Other Identifiers 2

Medicaid00880101MS
Medicare NSC6664240001MS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

20-20 Eyecare Of Grenada Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to 20-20 Eyecare Of Grenada PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1215951314
600 OLD HICKORY RD
Grenada, MS 38901
(662) 226-7010
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1093167157
600 OLD HICKORY RD
Grenada, MS 38901
(662) 229-6038
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories 20-20 Eyecare Of Grenada PA carries, from the Medicare DMEPOS supplier directory.

20-20 Eyecare Of Grenada PA

DMEPOS supplier · Grenada, MS
✔

Accepts Medicare assignment

20-20 Eyecare Of Grenada 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)20523107
Medicare Participant SinceJanuary 2, 2012
Supplier Location600 Old Hickory RdGrenada, MS 38901
Supplier Specialties
Optometrist

Medicare Product Categories

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

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 20-20 Eyecare Of Grenada PA's NPI number?

The NPI number for 20-20 Eyecare Of Grenada PA is 1497025183. It was assigned to this organization in the NPPES registry on January 11, 2012.

Where is 20-20 Eyecare Of Grenada PA located?

20-20 Eyecare Of Grenada PA is located at 600 Old Hickory Rd, Grenada, MS 38901. The listed phone number is (662) 226-7010.

What is 20-20 Eyecare Of Grenada PA's specialty?

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

Is 20-20 Eyecare Of Grenada PA enrolled in Medicare?

Yes. 20-20 Eyecare Of Grenada PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 20-20 Eyecare Of Grenada PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to 20-20 Eyecare Of Grenada PA. 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 at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does 20-20 Eyecare Of Grenada PA accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, 20-20 Eyecare Of Grenada PA accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does 20-20 Eyecare Of Grenada PA 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 20-20 Eyecare Of Grenada PA 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 20-20 Eyecare Of Grenada PA was last updated on April 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.