Mcmasters, Charles Edwin
Mcmasters, Charles Edwin is an sole proprietor health care provider with primary practice located at 120 Promenade Blvd , Flowood MS 39232-8017. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mcmasters, Charles Edwin can be contacted via phone (601) 992-1010.Contact Information
Primary practice address
120 Promenade Blvd
Flowood MS 39232-8017
Phone: (601) 992-1010
Fax: (601) 992-7700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 530 | Mississippi |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 997 | Louisiana |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3504 | Texas |
Profile Details
| NPI number | 1548289010 |
|---|---|
| LBN Legal business name | Mcmasters, Charles Edwin |
| Credentials | OPTOMETRIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Sep 12th, 2016 - about 8 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 | 1548289010 | NPPES |
| Mississippi | MEDICAID | 08277878 | |
| Mississippi | Other | 410048020 | |
| Mississippi | Other | 5539 | |
| Mississippi | Other | 640935907A |
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