Hines, Nettie
Hines, Nettie is an individual health care provider with primary practice located at 1006 Treetops Blvd Ste 105 , Flowood MS 39232-7645. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Hines, Nettie can be contacted via phone (601) 519-4466.Contact Information
Primary practice address
1006 Treetops Blvd Ste 105
Flowood MS 39232-7645
Phone: (601) 519-4466
Fax: (601) 374-5737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 956 | Mississippi |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 956 | Mississippi |
Profile Details
| NPI number | 1386168730 |
|---|---|
| LBN Legal business name | Hines, Nettie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2017 |
| Last updated | Oct 28th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386168730 | NPPES |
| Mississippi | MEDICAID | 08753003 | |
| Mississippi | Other | 956 |
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