ADVANCED VISION CENTER PLLC
NPI 1538341839
Ophthalmology in Laurel, MS

Active since November 29, 2007CLIA 25D2125384 · Waiver
705 SAWMILL RD, LAUREL, MS 39440(601) 649-2450(601) 649-0556 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2024, Jan 19, 2023, Nov 21, 2022 and 1 more (4 updates tracked since 2021).

About Advanced Vision Center Pllc NPPES

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

ADVANCED VISION CENTER PLLC (NPI 1538341839) is a healthcare organization registered as an ophthalmology in Laurel, Mississippi and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through February 6, 2027, maintains 3 additional practice locations, and lists John Benton Lyon, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1538341839
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameADVANCED VISION CENTER PLLC
Location Address705 SAWMILL RDLaurel, MS 39440-3937
Mailing AddressPo Box 1965Laurel, MS 39441-1965 · (601) 649-2450 · Fax (601) 649-0556
Fax(601) 649-0556
Organization SubpartNo
Authorized OfficialJohn Benton LyonPhysician/owner · (601) 649-2450
Enumeration DateNovember 29, 2007
Last NPPES UpdateApril 3, 20244 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1538341839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X
705 SAWMILL RD, Laurel, MS 39440

Secondary Practice Locations 3

Location 11431 W 10th StLaurel, MS 39440-2626 · Phone (601) 649-2450 · Fax (601) 649-0556
Location 22024 15th St Ste 5DMeridian, MS 39301-4130 · Phone (601) 553-2100 · Fax (601) 553-2104
Location 3450 5th Ave SWMagee, MS 39111-3960 · Phone (601) 649-2450 · Fax (601) 649-0556

Other Identifiers 1

Medicaid200001782MS

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Vision Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20050607000289Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Vision Center PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ophthalmology
NPI 1336208305
1431 W 10TH ST SUITE 2
Laurel, MS 39440
(601) 649-2450
✔ PECOS✔ Accepts Medicare0.8 mi
Optometry
NPI 1568832483
2024 15TH ST STE 5D
Meridian, MS 39301
(601) 553-2100
✔ PECOS✔ Accepts Medicare54 mi

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 25D2125384

Advanced Vision Center · Laurel, MS
Active · expires Feb 6, 2027
CLIA Number25D2125384
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorBethany Warren
Laboratory Phone(601) 649-2450
Laboratory LocationAdvanced Vision Center1431 W 10th St, Laurel, MS 39440
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Advanced Vision Center PLLC's NPI number?

The NPI number for Advanced Vision Center PLLC is 1538341839. It was assigned to this organization in the NPPES registry on November 29, 2007.

Where is Advanced Vision Center PLLC located?

Advanced Vision Center PLLC is located at 705 Sawmill Rd, Laurel, MS 39440. The listed phone number is (601) 649-2450.

What is Advanced Vision Center PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Advanced Vision Center PLLC enrolled in Medicare?

Yes. Advanced Vision Center PLLC is registered in the Medicare PECOS enrollment system.

When is Advanced Vision Center PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Advanced Vision Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Advanced Vision Center PLLC, in Ophthalmology and Optometry. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Vision Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2125384) is associated with this NPI, valid through February 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Vision Center PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 6 other insurers list Advanced Vision Center PLLC 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 Advanced Vision Center PLLC was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.