Clarksdale Vision Center PA
NPI 1235342056ActiveOrganization· Optometrist· Clarksdale, MS
Optometrist in Clarksdale, Mississippi, registered in NPPES in May 2007. The authorized official on file is James Flowers Humber, O.D., Owner. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1235342056 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 8, 2007 |
| Last updated in NPPES | Oct 4, 2021 |
| Certified by provider | Oct 4, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 633 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (MS); Part B Supplier - Clinic/Group Practice (MS) |
|---|
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