Clarksdale Vision Center Pa in Clarksdale, MS - Medicare Optometrist Provider

Clarksdale Vision Center Pa is a medicare enrolled "Optometrist" provider in Clarksdale, Mississippi. Their current practice location is 636 Friars Point Rd, Clarksdale, Mississippi. You can reach out to their office (for appointments etc.) via phone at (662) 627-2020.

Clarksdale Vision Center Pa is licensed to practice in Mississippi (license number 633) and it also participates in the medicare program. Clarksdale Vision Center Pa is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1235342056.

Contact Information

	Clarksdale Vision Center Pa
	636 Friars Point Rd, Clarksdale, MS 38614-9111
	(662) 627-2020
	(662) 627-7063

Map and Direction

Healthcare Provider's Profile

Full Name	Clarksdale Vision Center Pa
Type	Facility
Speciality	Optometrist
Location	636 Friars Point Rd, Clarksdale, Mississippi
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235342056
Provider Enumeration Date: 05/08/2007
Last Update Date: 10/04/2021

Medicare PECOS Information:

PECOS PAC ID: 5597881243
Enrollment ID: O20120111000245

Medical Identifiers

Medical identifiers for Clarksdale Vision Center Pa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235342056	NPI	-	NPPES
00880128	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	633 (Mississippi)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Clarksdale Vision Center Pa acts as a billing entity for following providers:

Provider Name	James Humber
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1396808259 PECOS PAC ID: 1355452681 Enrollment ID: I20120130000150

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clarksdale Vision Center Pa is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Clarksdale Vision Center Pa 636 Friars Point Rd, Clarksdale, MS 38614-9111 Ph: (662) 627-2020	Clarksdale Vision Center Pa 636 Friars Point Rd, Clarksdale, MS 38614-9111 Ph: (662) 627-2020

Reviews and Comments

Optometrist in Clarksdale, MS

Aaron E. Henry Community Health Optometrist Medicare: Not Enrolled in Medicare Practice Location: 600 Ohio Ave, Clarksdale, MS 38614 Phone: 662-624-4292 Fax: 662-351-3303
Aaron E. Henry Community Health Services Center, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 600 Ohio Ave, Clarksdale, MS 38614 Phone: 662-624-4292
Mr. James Flowers Humber Iv, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 636 Friars Point Rd, Clarksdale, MS 38614 Phone: 662-627-2020 Fax: 662-627-7063
Riverview Eyecare, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 325 W Lee Drive, Clarksdale, MS 38614 Phone: 662-627-2887 Fax: 662-495-4082
Dr. Mallory Morris Collins, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 325 Lee Dr, Clarksdale, MS 38614 Phone: 662-627-2887 Fax: 662-495-4082

Clarksdale Vision Center Pa - Medicare Optometrist in Clarksdale, MS