THE VISION CLINIC OF VICKSBURG LLC
NPI 1871602862
Optometrist in Vicksburg, MS

Active since August 30, 2006
1808 MISSION 66, VICKSBURG, MS 39180(601) 636-6364(601) 636-1162 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About The Vision Clinic Of Vicksburg Llc NPPES

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

THE VISION CLINIC OF VICKSBURG LLC (NPI 1871602862) is a healthcare organization registered as an optometrist in Vicksburg, Mississippi and active in the NPI registry since August 2006. The organization lists William Samuel Ashley, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1871602862
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameTHE VISION CLINIC OF VICKSBURG LLC
Location Address1808 MISSION 66Vicksburg, MS 39180-3710
Mailing Address1808 Mission 66Vicksburg, MS 39180-3710 · (601) 636-6364 · Fax (601) 636-1162
Fax(601) 636-1162
Organization SubpartNo
Authorized OfficialWilliam Samuel AshleyOwner/president · (601) 636-6364
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 12, 2023
NPPES CertifiedJuly 12, 2023
✔ NPI 1871602862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MS · 487
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.
Also ListedEyewear SupplierTaxonomy 332H00000X · License 487 (MS)
1808 MISSION 66, Vicksburg, MS 39180

Other Identifiers 1

Medicaid00087909MS

Accepted 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)

The Vision Clinic Of Vicksburg Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to The Vision Clinic Of Vicksburg LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Optometry
NPI 1205719630
1808 MISSION 66
Vicksburg, MS 39180
(601) 636-6364
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1518309277
1808 MISSION 66
Vicksburg, MS 39180
(601) 636-6364
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1952410011
1808 MISSION 66
Vicksburg, MS 39180
(601) 636-6364
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories The Vision Clinic carries, from the Medicare DMEPOS supplier directory.

The Vision Clinic

DMEPOS supplier · Vicksburg, MSOperated by The Vision Clinic Of Vicksburg LLC
✔

Accepts Medicare assignment

The Vision Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20539205
Medicare Participant SinceSeptember 1, 2010
Supplier Location1808 Mission 66Vicksburg, MS 39180
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 The Vision Clinic Of Vicksburg LLC's NPI number?

The NPI number for The Vision Clinic Of Vicksburg LLC is 1871602862. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is The Vision Clinic Of Vicksburg LLC located?

The Vision Clinic Of Vicksburg LLC is located at 1808 Mission 66, Vicksburg, MS 39180. The listed phone number is (601) 636-6364.

What is The Vision Clinic Of Vicksburg LLC's specialty?

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

Is The Vision Clinic Of Vicksburg LLC enrolled in Medicare?

Yes. The Vision Clinic Of Vicksburg LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Vision Clinic Of Vicksburg LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to The Vision Clinic Of Vicksburg LLC. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does The Vision Clinic Of Vicksburg LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, The Vision Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does The Vision Clinic Of Vicksburg LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list The Vision Clinic Of Vicksburg LLC 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 The Vision Clinic Of Vicksburg LLC was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.