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ELITE EYECARE
NPI 1508502774
Optometrist in Hernando, MS

Active since May 10, 2022
2631 MCINGVALE RD STE 104, HERNANDO, MS 38632(662) 612-2020 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 29, 2026, May 13, 2022 (2 updates tracked since 2022).

About Elite Eyecare NPPES

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

ELITE EYECARE (NPI 1508502774) is a healthcare organization registered as an optometrist in Hernando, Mississippi and active in the NPI registry since May 2022. The organization lists Emily Ridge, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1508502774
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameELITE EYECARE
Location Address2631 MCINGVALE RD STE 104Hernando, MS 38632-5935
Mailing Address717 Burton LnSouthaven, MS 38671-6977 · (662) 934-2408
Phone(662) 612-2020
Organization SubpartNo
Authorized OfficialEmily RidgeOptometrist · (662) 612-2020
Enumeration DateMay 10, 2022
Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1508502774 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.
2631 MCINGVALE RD STE 104, Hernando, MS 38632
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Oscar Health Plan, Inc..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)

Elite Eyecare 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 Elite Eyecare, which bills Medicare for the services this clinician delivers.

Clinician (1)

Emily Ridge, OD
Optometry
NPI 1861916991
2350 MOUNT PLEASANT RD
Hernando, MS 38632
(662) 429-4448
✔ PECOS✔ Accepts Medicare0.7 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 Elite Eyecare's NPI number?

The NPI number for Elite Eyecare is 1508502774. It was assigned to this organization in the NPPES registry on May 10, 2022.

Where is Elite Eyecare located?

Elite Eyecare is located at 2631 Mcingvale Rd Ste 104, Hernando, MS 38632. The listed phone number is (662) 612-2020.

What is Elite Eyecare's specialty?

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

Is Elite Eyecare enrolled in Medicare?

Yes. Elite Eyecare is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Eyecare?

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

What insurance does Elite Eyecare accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee and Oscar Health Plan, Inc. list Elite Eyecare 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 Elite Eyecare was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.