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
Fax: (601) 638-2171
Website:
Authorized official contact:
Name: Collins, C. Chris Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #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 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 1316113616 NPPES
Mississippi MEDICAID 00087003

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