The Vision Clinic of Vicksburg LLC
NPI 1871602862ActiveOrganization· Optometrist· Vicksburg, MS
Optometrist in Vicksburg, Mississippi, registered in NPPES in August 2006. The authorized official on file is William Samuel Ashley, O.D., Owner/President. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1871602862 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 30, 2006 |
| Last updated in NPPES | Jul 12, 2023 |
| Certified by provider | Jul 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 487 | MS |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | 487 | 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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