Collins, C. Chris
Collins, C. Chris is an sole proprietor health care provider with primary practice located at 1206 Mission 66 , Vicksburg MS 39183-3137. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is his primary health care specialty. Collins, C. Chris can be contacted via phone (601) 638-2081.Contact Information
Primary practice address
1206 Mission 66
Vicksburg MS 39183-3137
Phone: (601) 638-2081
Fax: (601) 638-2171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 522 | Mississippi |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 522 | Mississippi |
Profile Details
| NPI number | 1679682835 |
|---|---|
| LBN Legal business name | Collins, C. Chris |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Nov 14th, 2013 - about 12 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 | 1679682835 | NPPES |
| Mississippi | MEDICAID | 00087003 |
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