Madison Eye Care Clinic

LBN: Madison Eye Care Clinic
Madison Eye Care Clinic is an health care organization with primary practice located at 2168 Main St Suite A, Madison MS 39110-6319. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Madison Eye Care Clinic can be contacted via phone (601) 605-9885, or through Clements, Cassandra Leigh via phone (601) 605-9885.

Contact Information

Primary practice address
2168 Main St Suite A Madison MS 39110-6319
Phone: (601) 605-9885
Fax: (601) 605-9815
Website:
Map and Directions
Authorized official contact:
Name: Clements, Cassandra Leigh Doctor of Optometry (OD)
Phone: (601) 605-9885

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 641 Mississippi

Profile Details

NPI number 1275629594
LBN Legal business name Madison Eye Care Clinic
DBA Doing business as
Authorized official Clements, Cassandra Leigh Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1275629594 NPPES
Mississippi Other PALMETTO GBA P00059148
Mississippi MEDICAID 00880188 P00059148

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