Organization Active NPI

Cheatham Eyecare LLC

  • Eyewear Supplier
  • West Point, MS
National Provider Identifier
1114129368
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
MS656 Issued in MS
Legal business name
CHEATHAM EYECARE LLC
Practice address
529 Commerce St
West Point, MS 39773-7543
Phone
(662) 494-5984
Fax
(662) 494-3805
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Donna H Criddle
Title
Office Manager
Phone
(662) 494-5984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X MS656 MS Primary

Addresses

Primary practice location

529 Commerce St
West Point, MS 39773-7543

Mailing address

529 Commerce St
West Point, MS 39773-7543
Phone (662) 494-5984

Other identifiers 2

IdentifierTypeStateIssuer
09016249MedicaidMS
426556546AOtherMSBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110209000130 MS Part B Supplier - Clinic/Group Practice 1153536628 Receives reassigned benefits from 2 practitioners
Practice locations: West Point, MS

National Provider Directory

National Provider Directory

Locations

529 Commerce St
West Point, MS 39773
Phone (662) 494-5984

Interoperability endpoints

  • Direct secure messaging: drcheatham@cheathamemr.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1114129368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 COMMERCE ST",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397737543",
            "telephone_number": "662-494-5984",
            "fax_number": "662-494-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 COMMERCE ST",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397737543",
            "telephone_number": "662-494-5984",
            "fax_number": "662-494-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEATHAM EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "CRIDDLE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-494-5984"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MS",
            "license": "MS656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09016249",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "426556546A",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.