Individual provider Active NPI

Kelsey Long Sykes, OD

  • Optometrist
  • Clinton, MS
National Provider Identifier
1184171423
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
992 Issued in MS
Practice address
115 Cynthia St
Clinton, MS 39056-3711
Phone
(601) 924-4444
Fax
(601) 924-5471
NPI assigned
Sep 3, 2016
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 992 MS Primary
Optometrist 152W00000X 3673 MT

Addresses

Primary practice location

115 Cynthia St
Clinton, MS 39056-3711

Mailing address

115 Cynthia St
Clinton, MS 39056-3711
Phone (601) 924-4444

Other practice location 1

655 Highway 49 S Ste M
Richland, MS 39218-8431
Phone (601) 932-3727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231129000268 AK Practitioner - Optometry 1052732856 Reassigns benefits to 1 organization
I20260421000567 MS Practitioner - Optometry 1052732856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optical 2000Group PAC ID 8729983325, 4 clinicians
Eric Noll OD PCGroup PAC ID 4284049354, 6 clinicians
Optical 2000 of RichlandGroup PAC ID 1456439082, 4 clinicians

Practice addresses (Care Compare)

115 Cynthia St
Clinton, MS 39056-3711
Phone (601) 924-4444

440 W Evergreen Ave
Suite C
Palmer, AK 99645-6984
Phone (888) 571-5023

655 Hwy 49 S
Suite M
Richland, MS 39218-8431
Phone (601) 932-3727

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
992MSMDOptometrist
3673MTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optical 2000 Optometrist CurrentSince Apr 14, 2026 Accepting new patients
Optical 2000 of Richland Optometrist CurrentSince Apr 14, 2026 Accepting new patients
Wellford Eye Center PLLC Optometrist CurrentSince Jun 3, 2025 Accepting new patients
Eric Noll OD PC Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Optical 2000 of Flora PA Optometrist PastSince Apr 14, 2026 Accepting new patients

Locations

4045 Lake Otis Pkwy
Ste 203
Anchorage, AK 99508
Phone (888) 307-0165

12320 Old Glenn Hwy
Ste A
Eagle River, AK 99577
Phone (907) 694-2020

214 W Rezanof Dr
Kodiak, AK 99615
Phone (907) 486-6117

440 W Evergreen Ave
Ste C
Palmer, AK 99645
Phone (888) 571-5023

115 Cynthia St
Clinton, MS 39056
Phone (601) 924-4444

655 Highway 49 S
Ste M
Richland, MS 39218
Phone (601) 932-3727

1425 W Main St
Unit B
Bozeman, MT 59715
Phone (406) 586-2173

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1184171423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CYNTHIA ST",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390563711",
            "telephone_number": "601-924-4444",
            "fax_number": "601-924-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CYNTHIA ST",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390563711",
            "telephone_number": "601-924-4444",
            "fax_number": "601-924-5471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 Highway 49 S Ste M",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "MS",
            "postal_code": "392188431",
            "country_code": "US",
            "telephone_number": "601-932-3727",
            "fax_number": "601-932-3728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYKES",
        "first_name": "KELSEY",
        "middle_name": "LONG",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-03",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "992",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "3673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MS

Sources for this page

Verify at the official NPI Registry.