PROFESSIONAL EYECARE ASSOCIATES ,INC
NPI 1497830020
Optometrist in Ridgeland, MS

Active since October 25, 2006CLIA 25D2000813 · Waiver
6704 OLD CANTON RD, RIDGELAND, MS 39157(601) 957-9292(601) 957-7585 Get Directions Write a Review

NPPES record last updated: September 16, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1497830020
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePROFESSIONAL EYECARE ASSOCIATES ,INC
Location Address6704 OLD CANTON RDRidgeland, MS 39157-1225
Mailing Address6704 Old Canton RdRidgeland, MS 39157-1225 · (601) 957-9292 · Fax (601) 957-7585
Fax(601) 957-7585
Organization SubpartNo
Authorized OfficialMichael J PhillipsOwner · (601) 957-9292
Enumeration DateOctober 25, 2006
Last NPPES UpdateSeptember 16, 2014
NPI 1497830020 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.

6704 OLD CANTON RD, Ridgeland, MS 39157

Other Identifiers 1

Medicaid03950565MS

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 25D2000813

Professional Eyecare Associates · Ridgeland, MS
Active · expires Dec 6, 2027
CLIA Number25D2000813
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2025
Certificate Expiration DateDecember 6, 2027
Laboratory DirectorWilliam B. Craig
Laboratory Phone(601) 957-9292
Laboratory LocationProfessional Eyecare Associates6704 Old Canton Road, Ridgeland, MS 39157
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Optometrist
6704 OLD CANTON RD
RIDGELAND, MS 39157

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 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.

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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 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 with the weekly NPPES data releases published by CMS.