Clements Matney, Cassandra Leigh
Clements Matney, Cassandra Leigh is an sole proprietor health care provider with primary practice located at 910 23Rd Ave , Meridian MS 39301-5017. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Clements Matney, Cassandra Leigh can be contacted via phone (601) 482-2020.Contact Information
Primary practice address
910 23Rd Ave
Meridian MS 39301-5017
Phone: (601) 482-2020
Fax: (601) 693-1847
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 641 | Mississippi |
Profile Details
NPI number | 1922199751 |
---|---|
LBN Legal business name | Clements Matney, Cassandra Leigh |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 27th, 2006 |
Last updated | Oct 2nd, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922199751 | NPPES |
Mississippi | MEDICAID | 00880188 | |
Mississippi | Other | MC2384802 |
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