Optical Outlet

LBN: Brookhaven Optical Inc
Optical Outlet is an health care organization with primary practice located at 347 W Cherokee St , Brookhaven MS 39601-3219. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Brookhaven Optical Inc can be contacted via phone (601) 833-1958, or through Herndon, Natlie Brown via phone (601) 833-1958.

Contact Information

Primary practice address
347 W Cherokee St Brookhaven MS 39601-3219
Phone: (601) 833-1958
Fax: (601) 833-3938
Website:
Map and Directions
Authorized official contact:
Name: Herndon, Natlie Brown M.S., PH.D.
Phone: (601) 833-1958

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1821080250
LBN Legal business name Brookhaven Optical Inc
DBA Doing business as Optical Outlet
Authorized official Herndon, Natlie Brown M.S., PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2005
Last updated Aug 22nd, 2020 - about 5 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 1821080250 NPPES
Mississippi MEDICAID 00089220

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