OPTOMETRIC CLINIC, PA
NPI 1972675577
Optometrist in Hattiesburg, MS
About Optometric Clinic, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPTOMETRIC CLINIC, PA (NPI 1972675577) is a healthcare organization registered as an optometrist in Hattiesburg, Mississippi and active in the NPI registry since November 2006. The organization lists Ann A Williams, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 10
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Optometric Clinic, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Optometric Clinic, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Optometric Clinic, PA's NPI number?
The NPI number for Optometric Clinic, PA is 1972675577. It was assigned to this organization in the NPPES registry on November 15, 2006.
Where is Optometric Clinic, PA located?
Optometric Clinic, PA is located at 600 W Pine St, Hattiesburg, MS 39401. The listed phone number is (601) 545-2020.
What is Optometric Clinic, PA's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Optometric Clinic, PA enrolled in Medicare?
Yes. Optometric Clinic, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Optometric Clinic, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Optometric 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Optometric Clinic, PA accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Optometric 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 Optometric Clinic, PA was last updated on December 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Optometric Clinic, Pa · NPI 1972675577
Optometrist organization in Hattiesburg, Mississippi. Organization record, active in the CMS NPPES registry since November 15, 2006.
## Identity
- **NPI:** 1972675577 (Entity type: Organization)
- **Enumerated:** November 15, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Ann Williams, PARTNER
## Practice location
- **Address:** 600 W PINE ST, Hattiesburg, MS 39401-3834
- **Phone:** (601) 545-2020 · **Fax:** (601) 583-0120
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 13, 2010
- **Other identifiers:** Medicare UPIN T93630 (MS); Medicaid 00087064 (MS); Medicare NSC 0360420001 (MS); and 7 more
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Source: [NPI Profile](https://npiprofile.com/npi/1972675577) · Data from the CMS NPPES public registry.