OFF THE SQUARE EYECARE, PLLC
NPI 1639031545
Optometrist in Bruce, MS

Q: What is Off The Square Eyecare, PLLC's NPI number?

The NPI number for Off The Square Eyecare, PLLC is 1639031545. It was assigned to this organization in the NPPES registry on November 29, 2025.

Q: What is Off The Square Eyecare, PLLC's specialty?

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

Active since November 29, 2025

105 E CALHOUN ST, BRUCE, MS 38915(662) 362-7330(662) 362-7329 Get Directions Write a Review

NPPES record last updated: November 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Off The Square Eyecare, Pllc NPPES

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

OFF THE SQUARE EYECARE, PLLC (NPI 1639031545) is a healthcare organization registered as an optometrist in Bruce, Mississippi and active in the NPI registry since November 2025. The organization lists Kelli Mullen, Dr./optometrist, as its authorized official.

NPPES Registry Identity

NPI1639031545

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameOFF THE SQUARE EYECARE, PLLC

Location Address105 E CALHOUN STBruce, MS 38915-0405

Mailing Address105 E Calhoun StBruce, MS 38915-0405 · (662) 362-7330 · Fax (662) 362-7329

Phone(662) 362-7330

Fax(662) 362-7329

Organization SubpartNo

Authorized OfficialKelli MullenDr./optometrist · (662) 983-9205

Enumeration DateNovember 29, 2025

NPPES CertifiedNovember 29, 2025

✔ NPI 1639031545 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.

105 E CALHOUN ST, Bruce, MS 38915

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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)

Off The Square Eyecare, Pllc 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 Off The Square Eyecare, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kelli Mullen, OD

Optometry

NPI 1982056198

303 J H PHILLIPS LN
New Albany, MS 38652

(662) 539-7801

✔ PECOS✔ Accepts Medicare41 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 Off The Square Eyecare, PLLC's NPI number?

The NPI number for Off The Square Eyecare, PLLC is 1639031545. It was assigned to this organization in the NPPES registry on November 29, 2025.

Where is Off The Square Eyecare, PLLC located?

Off The Square Eyecare, PLLC is located at 105 E Calhoun St, Bruce, MS 38915. The listed phone number is (662) 362-7330.

What is Off The Square Eyecare, PLLC's specialty?

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

Is Off The Square Eyecare, PLLC enrolled in Medicare?

Yes. Off The Square Eyecare, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Off The Square Eyecare, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Off The Square Eyecare, PLLC. 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 Off The Square Eyecare, 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 4 other insurers list Off The Square Eyecare, 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 Off The Square Eyecare, PLLC was last updated on November 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.