Optometric Clinic, Pa
LBN: Optometric Clinic, Pa
Optometric Clinic, Pa is an health care organization with primary practice located at 600 W Pine St , Hattiesburg MS 39401-3834. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Optometric Clinic, Pa can be contacted via phone (601) 545-2020, or through Williams, Ann A via phone (601) 545-2020.
Contact Information
Primary practice address
600 W Pine St
Hattiesburg MS 39401-3834
Phone: (601) 545-2020
Fax: (601) 583-0120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 508 | Mississippi |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 550 | Mississippi |
Profile Details
| NPI number | 1972675577 |
|---|---|
| LBN Legal business name | Optometric Clinic, Pa |
| DBA Doing business as | |
| Authorized official | Williams, Ann A Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Dec 13th, 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 | 1972675577 | NPPES |
| Mississippi | MEDICAID | 00087064 | |
| Mississippi | MEDICAID | 00880007 | |
| Mississippi | Other | 540017775 | |
| Mississippi | Other | 410012873 |
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