Collins Eye Clinic Inc
LBN: Collins Eye Clinic Inc
Collins Eye Clinic Inc is an health care organization with primary practice located at 1206 Mission 66 , Vicksburg MS 39183-3137. The organization 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 the primary health care specialty.
Collins Eye Clinic Inc can be contacted via phone (601) 638-2081, or through Collins, C. Chris 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 | 1316113616 |
|---|---|
| LBN Legal business name | Collins Eye Clinic Inc |
| DBA Doing business as | |
| Authorized official | Collins, C. Chris Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 6th, 2008 |
| Last updated | Nov 17th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316113616 | NPPES |
| Mississippi | MEDICAID | 00087003 |
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