Organization Active NPI

Corinth Eye Clinic, Inc

Doing business as Weeden Eye Clinic

  • Optometrist
  • Corinth, MS
National Provider Identifier
1053506683
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
581 Issued in MS
Legal business name
CORINTH EYE CLINIC, INC
Doing business as
Weeden Eye Clinic
Practice address
3201 Gaines Rd
Corinth, MS 38834-8422
Phone
(662) 286-8860
Fax
(662) 286-3079
NPI assigned
Sep 6, 2007
Last updated
Jun 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael L Weeden, O.D.NPI 1972583524
Title
President
Phone
(662) 286-8860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 581 MS Primary

Addresses

Primary practice location

3201 Gaines Rd
Corinth, MS 38834-8422

Mailing address

3201 Gaines Rd
Corinth, MS 38834-8422
Phone (662) 286-8860

Other identifiers 1

IdentifierTypeStateIssuer
01507367MedicaidMS

Other names 1

  • Weeden Eye Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081111000067 MS Part B Supplier - Clinic/Group Practice 0941369649 Receives reassigned benefits from 4 practitioners
Practice locations: New Albany, MS; Corinth, MS
O20100930028999 MS DME Supplier - Physician - Optometrist 0941369649 Practice locations: Corinth, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2062258Corinth Eye Clinic Inc3201 Gaines Road, Corinth, MS 38834Certificate of waiverJul 14, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Corinth Eye Clinic, Inc3201 Gaines Rd, Corinth, MS 38834-8422(662) 286-8860 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Mar 18, 1997

National Provider Directory

National Provider Directory

Locations

3201 Gaines Rd
Corinth, MS 38834
Phone (662) 286-8860

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1053506683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 GAINES RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388348422",
            "telephone_number": "662-286-8860",
            "fax_number": "662-286-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 GAINES RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388348422",
            "telephone_number": "662-286-8860",
            "fax_number": "662-286-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORINTH EYE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "WEEDEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-286-8860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01507367",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weeden Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.