Custom Optical of Fondren LLC
NPI 1467622605 · Eyewear Supplier · Jackson, MS
Enrolled with Medicare as Dme Supplier - Optician · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Custom Optical of Fondren LLC is a Eyewear Supplier organization in Jackson, MS (NPI 1467622605).
Provider details
- NPI number
- 1467622605
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Patricia Hammons, Owner/Optician(601) 362-6675
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Custom Optical of Fondren LLC
- Other name
- Custom Optical of Fondren LLC
- Doing business as
- Custom Optical of Fondren LLC
Registry dates
- Enumerated
- 2008-03-04
- Last updated
- 2022-04-29
- Certified
- 2022-04-27
Frequently asked questions
- What is Custom Optical of Fondren LLC's NPI number?
- Custom Optical of Fondren LLC's National Provider Identifier (NPI) is 1467622605, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Optical of Fondren LLC?
- Custom Optical of Fondren LLC is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Custom Optical of Fondren LLC located?
- Custom Optical of Fondren LLC's practice location on file with NPPES is 661 Duling Ave, Jackson, MS 39216-4008.
- What is Custom Optical of Fondren LLC's phone number?
- The practice phone number listed in the NPPES registry for Custom Optical of Fondren LLC is (601) 362-6675.
- Does Custom Optical of Fondren LLC accept Medicare?
- Custom Optical of Fondren LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Custom Optical of Fondren LLC?
- The authorized official listed on Custom Optical of Fondren LLC's NPPES record is Patricia Hammons, Owner/Optician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Optical of Fondren LLC's NPI active?
- Yes — Custom Optical of Fondren LLC's NPI (1467622605) is active in the NPPES registry as of the last update on 2022-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.