Crossroad Eye Center Llc

LBN: Crossroad Eye Center Llc
Crossroad Eye Center Llc is an health care organization with primary practice located at 3035 Corder Dr , Corinth MS 38834-6216. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Crossroad Eye Center Llc can be contacted via phone (662) 286-9292, or through Wooten, Darwin B via phone (662) 286-9292.

Contact Information

Primary practice address
3035 Corder Dr Corinth MS 38834-6216
Phone: (662) 286-9292
Fax: (662) 286-9293
Website:
Map and Directions
Authorized official contact:
Name: Wooten, Darwin B Doctor of Medicine (MD)
Phone: (662) 286-9292

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 16628 Mississippi

Profile Details

NPI number 1306869235
LBN Legal business name Crossroad Eye Center Llc
DBA Doing business as
Authorized official Wooten, Darwin B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Mar 18th, 2008 - about 17 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 1306869235 NPPES
Mississippi MEDICAID 00122436
Mississippi MEDICAID 01087285

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