Jackson Eye Institute Ambulatory Surgery Center Llc
LBN: Jackson Eye Institute Ambulatory Surgery Center Llc
Jackson Eye Institute Ambulatory Surgery Center Llc is an health care organization with primary practice located at 2500 Lakeland Dr Suite B, Jackson MS 39232-7641. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Jackson Eye Institute Ambulatory Surgery Center Llc can be contacted via phone (601) 939-0079, or through Bruce, James Alvin via phone (601) 939-0079.
Contact Information
Primary practice address
2500 Lakeland Dr Suite B
Jackson MS 39232-7641
Phone: (601) 939-0079
Fax: (601) 939-6823
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 25C0001016 | Mississippi |
Profile Details
| NPI number | 1841357704 |
|---|---|
| LBN Legal business name | Jackson Eye Institute Ambulatory Surgery Center Llc |
| DBA Doing business as | |
| Authorized official | Bruce, James Alvin Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Dec 15th, 2016 - about 8 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 | 1841357704 | NPPES |
| Mississippi | MEDICAID | 00770208 |
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