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Wells Vision LLC

Wells Vision LLC is a healthcare organization registered as Optometrist in Brookhaven, MS, holding Type 2 (organization) NPI 1164920484 since 2018. The authorized official on file is Channing Wells, Optometrist.

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NPI 1164920484
Entity type Organization (Type 2)
Legal business name Wells Vision LLC
Practice address 960 BROOKWAY BLVD, Brookhaven, MS, 39601
Phone 6018234494
Enumeration date 2018-02-01
Last updated in NPPES 2018-02-01

Authorized official

Name Channing Wells
Title Optometrist
Phone 6019465492

Taxonomy & classification

Taxonomy code Specialty Primary License State
152W00000X Optometrist Primary 916 MS

Other identifiers

Identifier Type State Issuer
04802528 Medicaid MS
Copy-ready billing details
Provider: Wells Vision LLC
NPI: 1164920484
Taxonomy: 152W00000X (Optometrist)
Address: 960 BROOKWAY BLVD, Brookhaven, MS, 39601

Providers at this address

NPI Name Type Specialty Location
1518984913 Wal-Mart Stores East Lp Organization Community/Retail Pharmacy Brookhaven, MS
1144308388 Wal-Mart Stores East, Lp Organization Eyewear Supplier Brookhaven, MS
1427180553 Sheryl Lee Individual Optometrist Brookhaven, MS
1982207007 Dana Shoemake Individual Pharmacist Brookhaven, MS
1437753795 Kayla Dixon-Freeman Individual Pharmacist Brookhaven, MS
1750040762 Haley Posey Individual Pharmacist Brookhaven, MS

Verify this record

Cross-check NPI 1164920484 against the authoritative CMS record: view Wells Vision LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Wells Vision LLC?
Wells Vision LLC is registered in NPPES as a Optometrist (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-02-01.