20-20 Eyecare Of Grenada Pa

LBN: 20-20 Eyecare Of Grenada Pa
20-20 Eyecare Of Grenada Pa is an health care organization with primary practice located at 600 Old Hickory Rd , Grenada MS 38901-2727. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. 20-20 Eyecare Of Grenada Pa can be contacted via phone (662) 226-7010, or through Walls, Christopher T via phone (662) 226-7010.

Contact Information

Primary practice address
600 Old Hickory Rd Grenada MS 38901-2727
Phone: (662) 226-7010
Fax: (662) 226-7027
Website:
Map and Directions
Authorized official contact:
Name: Walls, Christopher T Doctor of Optometry (OD)
Phone: (662) 226-7010

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X Mississippi

Profile Details

NPI number 1497025183
LBN Legal business name 20-20 Eyecare Of Grenada Pa
DBA Doing business as
Authorized official Walls, Christopher T Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2012
Last updated Apr 26th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497025183 NPPES
Mississippi MEDICAID 00880101

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