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SOUTHERN EYE CARE OF VICKSBURG PA
NPI 1558089979
Optometrist in Vicksburg, MS

Active since August 22, 2022
1206 MISSION 66, VICKSBURG, MS 39183(601) 638-2081 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Southern Eye Care Of Vicksburg Pa NPPES

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

SOUTHERN EYE CARE OF VICKSBURG PA (NPI 1558089979) is a healthcare organization registered as an optometrist in Vicksburg, Mississippi and active in the NPI registry since August 2022. The organization lists Jamie N Yalian, Insurance Admin, as its authorized official.

NPPES Registry Identity

NPI1558089979
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSOUTHERN EYE CARE OF VICKSBURG PA
Location Address1206 MISSION 66Vicksburg, MS 39183-3137
Mailing Address1206 Mission 66Vicksburg, MS 39183-3137 · (601) 638-2081
Phone(601) 638-2081
Organization SubpartNo
Authorized OfficialJamie N YalianInsurance Admin · (601) 267-9351
Enumeration DateAugust 22, 2022
NPPES CertifiedAugust 22, 2022
✔ NPI 1558089979 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.
1206 MISSION 66, Vicksburg, MS 39183
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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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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)

Southern Eye Care Of Vicksburg 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 Southern Eye Care Of Vicksburg 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)

Chris Collins, O. D.
Optometry
NPI 1679682835
1206 MISSION 66
Vicksburg, MS 39183
(601) 638-2081
✔ PECOS✔ Accepts MedicareSame address
Kelby Flemons, OD
Optometry
NPI 1104551571
1206 MISSION 66
Vicksburg, MS 39183
(601) 638-2081
✔ 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.

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 Southern Eye Care Of Vicksburg PA's NPI number?

The NPI number for Southern Eye Care Of Vicksburg PA is 1558089979. It was assigned to this organization in the NPPES registry on August 22, 2022.

Where is Southern Eye Care Of Vicksburg PA located?

Southern Eye Care Of Vicksburg PA is located at 1206 Mission 66, Vicksburg, MS 39183. The listed phone number is (601) 638-2081.

What is Southern Eye Care Of Vicksburg PA's specialty?

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

Is Southern Eye Care Of Vicksburg PA enrolled in Medicare?

Yes. Southern Eye Care Of Vicksburg PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Eye Care Of Vicksburg PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Southern Eye Care Of Vicksburg 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.

What insurance does Southern Eye Care Of Vicksburg 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 4 other insurers list Southern Eye Care Of Vicksburg 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 Southern Eye Care Of Vicksburg PA was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.