PROFESSIONAL EYECARE ASSOCIATES ,INC
NPI 1497830020
Optometrist in Ridgeland, MS
About Professional Eyecare Associates ,inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROFESSIONAL EYECARE ASSOCIATES ,INC (NPI 1497830020) is a healthcare organization registered as an optometrist in Ridgeland, Mississippi and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through December 6, 2027 and lists Michael J Phillips, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Professional Eyecare Associates ,inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Professional Eyecare Associates ,inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 25D2000813
Professional Eyecare Associates · Ridgeland, MSFrequently 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 Professional Eyecare Associates ,inc's NPI number?
The NPI number for Professional Eyecare Associates ,inc is 1497830020. It was assigned to this organization in the NPPES registry on October 25, 2006.
Where is Professional Eyecare Associates ,inc located?
Professional Eyecare Associates ,inc is located at 6704 Old Canton Rd, Ridgeland, MS 39157. The listed phone number is (601) 957-9292.
What is Professional Eyecare Associates ,inc's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Professional Eyecare Associates ,inc enrolled in Medicare?
Yes. Professional Eyecare Associates ,inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Professional Eyecare Associates ,inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Optometry, reassign their Medicare billing to Professional Eyecare Associates ,inc. 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 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Professional Eyecare Associates ,inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2000813) 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 Professional Eyecare Associates ,inc accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 7 other insurers list Professional Eyecare Associates ,inc 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 Professional Eyecare Associates ,inc 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.
# Professional Eyecare Associates ,inc · NPI 1497830020
Optometrist organization in Ridgeland, Mississippi. Organization record, active in the CMS NPPES registry since October 25, 2006.
## Identity
- **NPI:** 1497830020 (Entity type: Organization)
- **Enumerated:** October 25, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Michael Phillips, OWNER
## Practice location
- **Address:** 6704 OLD CANTON RD, Ridgeland, MS 39157-1225
- **Phone:** (601) 957-9292 · **Fax:** (601) 957-7585
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2014
- **Other identifiers:** Medicaid 03950565 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497830020) · Data from the CMS NPPES public registry.