Optometric Clinic, PA
NPI 1972675577 · Optometrist · Hattiesburg, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Optometric Clinic, PA is a Optometrist organization in Hattiesburg, MS (NPI 1972675577).
Provider details
- NPI number
- 1972675577
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Ann Williams, Partner(601) 545-2020
- License
- 550 (MS)
Specialties & taxonomies
Eye and Vision Services Providers
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
19 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
- 2006-11-15
- Last updated
- 2010-12-13
Frequently asked questions
- What is Optometric Clinic, PA's NPI number?
- Optometric Clinic, PA's National Provider Identifier (NPI) is 1972675577, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Optometric Clinic, PA?
- Optometric Clinic, PA is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Optometric Clinic, PA located?
- Optometric Clinic, PA's practice location on file with NPPES is 600 W Pine St, Hattiesburg, MS 39401-3834.
- What is Optometric Clinic, PA's phone number?
- The practice phone number listed in the NPPES registry for Optometric Clinic, PA is (601) 545-2020.
- Does Optometric Clinic, PA accept Medicare?
- Optometric Clinic, 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 Optometric Clinic, PA?
- The authorized official listed on Optometric Clinic, PA's NPPES record is Ann Williams, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Optometric Clinic, PA's NPI active?
- Yes — Optometric Clinic, PA's NPI (1972675577) is active in the NPPES registry as of the last update on 2010-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.