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CHARLESTON VISION CENTER PA
NPI 1932440138
Optometrist in Charleston, MS

Active since March 13, 2013CLIA 25D2068706 · Waiver
288 W MAIN ST, CHARLESTON, MS 38921(662) 647-8707(662) 647-8706 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charleston Vision Center Pa NPPES

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

CHARLESTON VISION CENTER PA (NPI 1932440138) is a healthcare organization registered as an optometrist in Charleston, Mississippi and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through November 11, 2027 and lists Ashleigh Tackett, Clinic Coordinator, as its authorized official.

NPPES Registry Identity

NPI1932440138
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCHARLESTON VISION CENTER PA
Location Address288 W MAIN STCharleston, MS 38921-2229
Mailing Address1890 Goodman Rd E, Suite 100Southaven, MS 38671-9504
Phone(662) 647-8707
Fax(662) 647-8706
Organization SubpartNo
Authorized OfficialAshleigh TackettClinic Coordinator · (662) 647-8707
Enumeration DateMarch 13, 2013
Last NPPES UpdateFebruary 1, 2021
NPPES CertifiedFebruary 1, 2021
✔ NPI 1932440138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MS · 722
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.
288 W MAIN ST, Charleston, MS 38921
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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 MULTIPLE 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 from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2068706

Charleston Vision Center · Charleston, MS
Active · expires Nov 11, 2027
CLIA Number25D2068706
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2025
Certificate Expiration DateNovember 11, 2027
Laboratory DirectorDr. Jonathan W. Wilson
Laboratory Phone(662) 647-8707
Laboratory LocationCharleston Vision Center288 Main Street, Charleston, MS 38921
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Charleston Vision Center PA's NPI number?

The NPI number for Charleston Vision Center PA is 1932440138. It was assigned to this organization in the NPPES registry on March 13, 2013.

Where is Charleston Vision Center PA located?

Charleston Vision Center PA is located at 288 W Main St, Charleston, MS 38921. The listed phone number is (662) 647-8707.

What is Charleston Vision Center PA's specialty?

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

Does Charleston Vision Center PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2068706) is associated with this NPI, valid through November 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Charleston Vision Center PA accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Charleston Vision Center 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 Charleston Vision Center PA was last updated on February 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.