POPLARVILLE EYE CLINIC, LLC
NPI 1962800011
Optometrist in Poplarville, MS

Active since December 05, 2014
1716 S MAIN ST, POPLARVILLE, MS 39470(601) 795-0137(601) 795-0148 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 5, 2024, Feb 27, 2017 (2 updates tracked since 2017).

About Poplarville Eye Clinic, Llc NPPES

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

POPLARVILLE EYE CLINIC, LLC (NPI 1962800011) is a healthcare organization registered as an optometrist in Poplarville, Mississippi and active in the NPI registry since December 2014. The organization lists Bethany G. Harrington, Optometrist/owner, as its authorized official.

NPPES Registry Identity

NPI1962800011
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePOPLARVILLE EYE CLINIC, LLC
Location Address1716 S MAIN STPoplarville, MS 39470-4287
Mailing AddressPo Box 521Poplarville, MS 39470-0521 · (601) 795-0137 · Fax (601) 795-0148
Fax(601) 795-0148
Organization SubpartNo
Authorized OfficialBethany G. HarringtonOptometrist/owner · (601) 795-0137
Enumeration DateDecember 5, 2014
Last NPPES UpdateJanuary 5, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
✔ NPI 1962800011 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 · 685
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.
1716 S MAIN ST, Poplarville, MS 39470

Other Identifiers 1

Medicaid00880221MS

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 SINGLE SPECIALTY GROUP

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)

Poplarville Eye Clinic, Llc 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.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20170330001961DME · Physician - OptometristDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Poplarville Eye Clinic, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Optometry
NPI 1750350070
1716 S MAIN ST
Poplarville, MS 39470
(601) 795-0137
✔ PECOS✔ Accepts Medicare0.1 mi
Optometry
NPI 1306435722
908 SIXTH AVE
Picayune, MS 39466
(601) 798-4182
✔ PECOS✔ Accepts Medicare22 mi
Optometry
NPI 1346215274
409 AVENUE F
Bogalusa, LA 70427
(985) 735-8137
✔ PECOS✔ Accepts Medicare59 mi

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 2

Medicare supplier enrollment and the product categories Poplarville Eye Clinic LLC carries, from the Medicare DMEPOS supplier directory.

Poplarville Eye Clinic LLC

DMEPOS supplier · Poplarville, MS
✔

Accepts Medicare assignment

Poplarville Eye Clinic LLC 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)21610365
Medicare Participant SinceJanuary 2, 2015
Supplier Location1716 S Main StPoplarville, MS 39470
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
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 Poplarville Eye Clinic, LLC's NPI number?

The NPI number for Poplarville Eye Clinic, LLC is 1962800011. It was assigned to this organization in the NPPES registry on December 5, 2014.

Where is Poplarville Eye Clinic, LLC located?

Poplarville Eye Clinic, LLC is located at 1716 S Main St, Poplarville, MS 39470. The listed phone number is (601) 795-0137.

What is Poplarville Eye Clinic, LLC's specialty?

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

Is Poplarville Eye Clinic, LLC enrolled in Medicare?

Yes. Poplarville Eye Clinic, LLC is registered in the Medicare PECOS enrollment system.

When is Poplarville Eye Clinic, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Mississippi, Physician - Optometrist) 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 Poplarville Eye Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Poplarville Eye Clinic, 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Poplarville Eye Clinic, LLC accept Medicare assignment for medical equipment?

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

What insurance does Poplarville Eye Clinic, 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 6 other insurers list Poplarville Eye Clinic, 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 Poplarville Eye Clinic, LLC was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.