Mallory Morris Collins, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

990 Issued in MS

Practice address

325 Lee Dr
Clarksdale, MS 38614-1912

Phone

(662) 627-2887

Fax

(662) 495-4082

NPI assigned

Jul 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mallory Nicole Morris Former name

Medicare fee-for-service enrollment

Enrolled in MS

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 1

Specialty

Optometry

Education

Southern College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Riverview Eyecare, PLLC

  • Optometrist
  • Clarksdale, MS
  • NPI 1427821313
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1801449756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W LEE DR",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386141912",
            "telephone_number": "662-627-2887",
            "fax_number": "662-495-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 LEE DR",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386141912",
            "telephone_number": "662-627-2887",
            "fax_number": "662-495-4082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "561 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Clarksdale",
            "state": "MS",
            "postal_code": "386146733",
            "country_code": "US",
            "telephone_number": "662-627-5256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "636 Friars Point Rd",
            "address_purpose": "LOCATION",
            "city": "Clarksdale",
            "state": "MS",
            "postal_code": "386149111",
            "country_code": "US",
            "telephone_number": "662-627-2020",
            "fax_number": "662-627-7063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MALLORY",
        "middle_name": "MORRIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "MORRIS",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clarksdale Vision Center PA
• Coahoma County School District
• Coahoma Emergency Group LLC
• Monica L. Coleman, NCC, CRC, PLPC, PCAT
• Brandy Collins
• Community Health Services, LLC
• Compassionate Hands Inc
• Comprehensive Hospitalists of Ms, LLC
• Allison Marie Conley
• Cheryl S Conley, MSW

• Optometrist in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.