CLEVELAND EYE CLINIC PA
NPI 1962571380
Optometrist in Cleveland, MS
About Cleveland Eye Clinic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLEVELAND EYE CLINIC PA (NPI 1962571380) is a healthcare organization registered as an optometrist in Cleveland, Mississippi and active in the NPI registry since November 2006. The organization lists Emmett Donald Smith, President, 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)
Cleveland Eye Clinic Pa 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 Cleveland Eye Clinic PA, 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 Cleveland Eye Clinic PA's NPI number?
The NPI number for Cleveland Eye Clinic PA is 1962571380. It was assigned to this organization in the NPPES registry on November 7, 2006.
Where is Cleveland Eye Clinic PA located?
Cleveland Eye Clinic PA is located at 136 North Street, Cleveland, MS 38732. The listed phone number is (662) 846-6641.
What is Cleveland Eye Clinic PA's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Cleveland Eye Clinic PA enrolled in Medicare?
Yes. Cleveland Eye Clinic PA is registered in the Medicare PECOS enrollment system.
When is Cleveland Eye Clinic PA'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 Cleveland Eye Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Cleveland Eye Clinic PA. 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 Cleveland Eye Clinic PA accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Cleveland Eye Clinic 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 Cleveland Eye Clinic PA was last updated on March 18, 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.
# Cleveland Eye Clinic Pa · NPI 1962571380
Optometrist organization in Cleveland, Mississippi. Organization record, active in the CMS NPPES registry since November 7, 2006.
## Identity
- **NPI:** 1962571380 (Entity type: Organization)
- **Enumerated:** November 7, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Emmett Smith, PRESIDENT
## Practice location
- **Address:** 136 NORTH STREET, Cleveland, MS 38732
- **Phone:** (662) 846-6641 · **Fax:** (662) 846-6644
## 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:** March 18, 2008
- **Other identifiers:** Medicaid 09957099 (MS); Medicare UPIN T21133; Medicare NSC 0289000001
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Source: [NPI Profile](https://npiprofile.com/npi/1962571380) · Data from the CMS NPPES public registry.