ELLIS OPTICAL SHOPPE LLC
NPI 1891972048
Eyewear Supplier in Meridian, MS

Active since January 29, 2008
2318A 12TH ST, MERIDIAN, MS 39301(601) 483-1172 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2023, Jun 22, 2023, Sep 22, 2022 (3 updates tracked since 2022).

About Ellis Optical Shoppe Llc NPPES

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

ELLIS OPTICAL SHOPPE LLC (NPI 1891972048) is a healthcare organization registered as an eyewear supplier in Meridian, Mississippi and active in the NPI registry since January 2008. The organization lists Jonathan Evans Ellis, Dispensing Optician, as its authorized official.

NPPES Registry Identity

NPI1891972048
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameELLIS OPTICAL SHOPPE LLC
Location Address2318A 12TH STMeridian, MS 39301-3933
Mailing Address2318a 12th StMeridian, MS 39301-3933 · (601) 483-1172
Organization SubpartNo
Authorized OfficialJonathan Evans EllisDispensing Optician · (601) 483-1172
Enumeration DateJanuary 29, 2008
Last NPPES UpdateJuly 28, 20233 updates tracked since enumeration
NPPES CertifiedJuly 28, 2023
NPI 1891972048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
2318A 12TH ST, Meridian, MS 39301

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Ellis Optical Shoppe LLC carries, from the Medicare DMEPOS supplier directory.

Ellis Optical Shoppe LLC

DMEPOS supplier · Meridian, MS

Does not accept Medicare assignment

Ellis Optical Shoppe LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20346629
Medicare Participant SinceNovember 8, 2022
Supplier Location2318 12th St Ste AMeridian, MS 39301
Supplier Specialties
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 Ellis Optical Shoppe LLC's NPI number?

The NPI number for Ellis Optical Shoppe LLC is 1891972048. It was assigned to this organization in the NPPES registry on January 29, 2008.

Where is Ellis Optical Shoppe LLC located?

Ellis Optical Shoppe LLC is located at 2318A 12th St, Meridian, MS 39301. The listed phone number is (601) 483-1172.

What is Ellis Optical Shoppe LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Does Ellis Optical Shoppe LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Ellis Optical Shoppe LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Ellis Optical Shoppe LLC was last updated on July 28, 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.