Columbus Optical Dispensary
LBN: Columbus Optical Dispensary
Columbus Optical Dispensary is an health care organization with primary practice located at 1928 5Th St N , Columbus MS 39705. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Ophthalmic, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Ophthalmic is the primary health care specialty.
Columbus Optical Dispensary can be contacted via phone (662) 328-5781, or through Lee, Michael Jarod via phone (662) 328-5781.
Contact Information
Primary practice address
1928 5Th St N
Columbus MS 39705
Phone: (662) 328-5781
Fax: (662) 328-7281
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Ophthalmic | 156FX1100X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1578584686 |
|---|---|
| LBN Legal business name | Columbus Optical Dispensary |
| DBA Doing business as | |
| Authorized official | Lee, Michael Jarod |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Jun 21st, 2018 - about 6 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 | 1578584686 | NPPES |
| Mississippi | MEDICAID | 00089020 |
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