Custom Optical Of Fondren Llc

LBN: Custom Optical Of Fondren Llc
Custom Optical Of Fondren Llc is an health care organization with primary practice located at 661 Duling Ave , Jackson MS 39216-4008. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Custom Optical Of Fondren Llc can be contacted via phone (601) 362-6675, or through Hammons, Patricia via phone (601) 362-6675.

Contact Information

Primary practice address
661 Duling Ave Jackson MS 39216-4008
Phone: (601) 362-6675
Fax: (601) 362-5767
Website:
Map and Directions
Authorized official contact:
Name: Hammons, Patricia
Phone: (601) 362-6675

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1467622605
LBN Legal business name Custom Optical Of Fondren Llc
DBA Doing business as Custom Optical Of Fondren Llc
Authorized official Hammons, Patricia
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2008
Last updated Apr 29th, 2022 - about 3 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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