ROUTT EYE CLINIC
NPI 1942487558
Optometrist in Kosciusko, MS
About Routt Eye Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROUTT EYE CLINIC (NPI 1942487558) is a healthcare organization registered as an optometrist in Kosciusko, Mississippi and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Lawrence Adrian Routt, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
Routt Eye Clinic 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 Routt Eye Clinic, 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.
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 25D2049743
Routt Eye Clinic · Kosciusko, MSFrequently 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 Routt Eye Clinic's NPI number?
The NPI number for Routt Eye Clinic is 1942487558. It was assigned to this organization in the NPPES registry on January 25, 2008.
Where is Routt Eye Clinic located?
Routt Eye Clinic is located at 107 S Natchez St, Kosciusko, MS 39090. The listed phone number is (662) 289-4131.
What is Routt Eye Clinic's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Routt Eye Clinic enrolled in Medicare?
Yes. Routt Eye Clinic is registered in the Medicare PECOS enrollment system.
When is Routt Eye Clinic'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 Routt Eye Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Routt Eye Clinic. 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.
Does Routt Eye Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2049743) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Routt Eye Clinic accept?
Health plans from Molina Healthcare list Routt Eye Clinic 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 Routt Eye Clinic was last updated on January 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Routt Eye Clinic · NPI 1942487558
Optometrist organization in Kosciusko, Mississippi. Organization record, active in the CMS NPPES registry since January 25, 2008.
## Identity
- **NPI:** 1942487558 (Entity type: Organization)
- **Enumerated:** January 25, 2008
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Lawrence Routt, OPTOMETRIST
## Practice location
- **Address:** 107 S NATCHEZ ST, Kosciusko, MS 39090-3741
- **Phone:** (662) 289-4131 · **Fax:** (662) 289-5348
## 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:** January 25, 2008
- **Other identifiers:** Medicaid 00087888 (MS); Medicare NSC 0518690001 (MS); Medicare UPIN T-21293 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1942487558) · Data from the CMS NPPES public registry.