CALEDONIA VISION CENTER
NPI 1720403900
Optometrist in Caledonia, MS
About Caledonia Vision Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CALEDONIA VISION CENTER (NPI 1720403900) is a healthcare organization registered as an optometrist in Caledonia, Mississippi and active in the NPI registry since February 2014. The organization lists Nicholas T Richardson, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Caledonia Vision Center 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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Caledonia Vision Center, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Golden Triangle Family Eye Care, PLLC's NPI number?
The NPI number for Golden Triangle Family Eye Care, PLLC is 1720403900. It was assigned to this organization in the NPPES registry on February 25, 2014. The provider is doing business as Caledonia Vision Center.
Where is Golden Triangle Family Eye Care, PLLC located?
Golden Triangle Family Eye Care, PLLC is located at 9692 Wolfe Rd, Caledonia, MS 39740. The listed phone number is (662) 241-9661.
What is Golden Triangle Family Eye Care, PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Golden Triangle Family Eye Care, PLLC enrolled in Medicare?
Yes. Golden Triangle Family Eye Care, PLLC is registered in the Medicare PECOS enrollment system.
When is Golden Triangle Family Eye Care, 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 Golden Triangle Family Eye Care, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Golden Triangle Family Eye Care, 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 Golden Triangle Family Eye Care, PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Golden Triangle Family Eye Care, 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 Golden Triangle Family Eye Care, PLLC was last updated on February 27, 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.
# Caledonia Vision Center · NPI 1720403900
Optometrist organization in Caledonia, Mississippi. Organization record, active in the CMS NPPES registry since February 25, 2014.
## Identity
- **NPI:** 1720403900 (Entity type: Organization)
- **Enumerated:** February 25, 2014
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Golden Triangle Family Eye Care, Pllc
- **Organization subpart:** No
- **Authorized official:** Nicholas Richardson, OPTOMETRIST
## Practice location
- **Address:** 9692 WOLFE RD, Caledonia, MS 39740-9223
- **Phone:** (662) 241-9661 · **Fax:** (662) 241-9663
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 27, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1720403900) · Data from the CMS NPPES public registry.