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Optometric Clinic, PA

Optometrist in Hattiesburg, MS · enumerated 2006 · authorized official Ann Williams, Partner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1972675577

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Registry record

Entity type Organization (Type 2)
Legal business name Optometric Clinic, PA
Practice address 600 W Pine St, Hattiesburg, MS, 39401
Fax (601) 583-0120
Enumeration date Nov 15, 2006
Last updated in NPPES Dec 13, 2010

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 508 (MS) Primary
152W00000X Optometrist Eye and Vision Services Providers · License 550 (MS) Secondary

Authorized official

Name Ann Williams
Title Partner

Other identifiers

Identifier Type State Issuer
00087064 Medicaid MS -
00880007 Medicaid MS -
540017775 Other MS RRMEDICARE
410012873 Other MS RR MEDICARE

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.

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Frequently asked questions

What type of organization is Optometric Clinic, PA?
Optometric Clinic, PA is registered in NPPES as a Optometrist (its primary provider taxonomy).
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.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-12-13.