Eyeline Optical Of Vicksburg, Inc.

LBN: Eyeline Optical Of Vicksburg, Inc.
Eyeline Optical Of Vicksburg, Inc. is an health care organization with primary practice located at 2449 N Frontage Rd , Vicksburg MS 39180-5177. 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. Eyeline Optical Of Vicksburg, Inc. can be contacted via phone (601) 638-7905, or through Monsour, Ronnie Dale via phone (601) 638-7905.

Contact Information

Primary practice address
2449 N Frontage Rd Vicksburg MS 39180-5177
Phone: (601) 638-7905
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Monsour, Ronnie Dale
Phone: (601) 638-7905

Health care specialties

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

Profile Details

NPI number 1831307727
LBN Legal business name Eyeline Optical Of Vicksburg, Inc.
DBA Doing business as
Authorized official Monsour, Ronnie Dale
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Nov 13th, 2012 - 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 1831307727 NPPES
Mississippi MEDICAID 00089002

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