Ole Brook Optical, Inc
LBN: Ole Brook Optical, Inc
Ole Brook Optical, Inc is an health care organization with primary practice located at 401 Hwy 51 South , Brookhaven MS 39601. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty.
Ole Brook Optical, Inc can be contacted via phone (601) 833-3318, or through Smith, Thomas T via phone (601) 833-3318.
Contact Information
Primary practice address
401 Hwy 51 South
Brookhaven MS 39601
Phone: (601) 833-3318
Fax: (601) 833-7782
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1568536415 |
|---|---|
| LBN Legal business name | Ole Brook Optical, Inc |
| DBA Doing business as | |
| Authorized official | Smith, Thomas T CERTIFIED OPTICIAN |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Jan 15th, 2010 - about 15 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 | 1568536415 | NPPES |
| Mississippi | MEDICAID | 07256063 |
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