James W Bearden III, O.D.

Individual provider Active NPI Optometrist · Canton, MS

NPI 1831405448 · NPPES record last updated Aug 20, 2010

Key facts

NPI
1831405448
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
819 (MS)
Practice address
1185 Hart St
Canton, MS 39046-4805
Phone
(601) 605-2259
Fax
(601) 856-0195
NPI assigned
Aug 20, 2010
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Optometry
Education
Southern College of Optometry, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Canton Vision Clinic, PA (5 clinicians)
Madison Professional Eyecare Associates Inc (8 clinicians)
Professional Eyecare Associates of Yazoo City, PA (5 clinicians)

Practice addresses (Care Compare)

1185 Hart St
Canton, MS 39046-4805
Phone (601) 859-3464

228 Garden Park Dr
Madison, MS 39110-5505
Phone (601) 605-2259

728 E 15TH St
Yazoo City, MS 39194-2706
Phone (662) 746-4312

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery84

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110215000936 MS Practitioner - Optometry 4486834926 Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon Professional Eyecare Associates, Inc. Optometrist Current
since Nov 1, 2014
Accepting new patients
Professional Eyecare Associates ,Inc Optometrist Current
since Dec 31, 2010
Accepting new patients
Canton Vision Clinic, P.a. Optometrist Current
since Dec 31, 2010
Accepting new patients
Madison Professional Eyecare Associates, Inc Optometrist Current
since Dec 31, 2010
Accepting new patients
Professional Eyecare Associates of Yazoo City, PA Optometrist Current
since Dec 31, 2010
Accepting new patients

Locations

1390 W Government St
Ste C
Brandon, MS 39042
Phone (601) 825-8300

1185 Hart St
Canton, MS 39046
Phone (601) 859-3464

224 Waterford Sq
Madison, MS 39110
Phone (601) 605-2259

228 Garden Park Dr
Madison, MS 39110
Phone (601) 605-2259

6704 Old Canton Rd
Ridgeland, MS 39157
Phone (601) 957-9292

728 E Fifteenth St
Yazoo City, MS 39194
Phone (662) 332-3325

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 819 MS Yes

Addresses

Primary practice location

1185 Hart St
Canton, MS 39046-4805

Mailing address

1185 Hart St
Canton, MS 39046-4805
Phone (601) 605-2259

Other providers in Canton, MS

All providers in Canton, MS · Optometrist in Mississippi

Sources for this page

Verify at the official NPI Registry.