Southern Eye Care of Vicksburg PA
NPI 1558089979 · Optometrist · Vicksburg, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Eye Care of Vicksburg PA is a Optometrist organization in Vicksburg, MS (NPI 1558089979).
Provider details
- NPI number
- 1558089979
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jamie Yalian, Insurance Admin(601) 267-9351
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Registry dates
- Enumerated
- 2022-08-22
- Last updated
- 2022-08-22
- Certified
- 2022-08-22
Frequently asked questions
- What is Southern Eye Care of Vicksburg PA's NPI number?
- Southern Eye Care of Vicksburg PA's National Provider Identifier (NPI) is 1558089979, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Eye Care of Vicksburg PA?
- Southern Eye Care of Vicksburg PA is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Southern Eye Care of Vicksburg PA located?
- Southern Eye Care of Vicksburg PA's practice location on file with NPPES is 1206 Mission 66, Vicksburg, MS 39183-3137.
- What is Southern Eye Care of Vicksburg PA's phone number?
- The practice phone number listed in the NPPES registry for Southern Eye Care of Vicksburg PA is (601) 638-2081.
- Does Southern Eye Care of Vicksburg PA accept Medicare?
- Southern Eye Care of Vicksburg PA 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 Southern Eye Care of Vicksburg PA?
- The authorized official listed on Southern Eye Care of Vicksburg PA's NPPES record is Jamie Yalian, Insurance Admin. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Eye Care of Vicksburg PA's NPI active?
- Yes — Southern Eye Care of Vicksburg PA's NPI (1558089979) is active in the NPPES registry as of the last update on 2022-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.