Otto, Audrey Thompson
Otto, Audrey Thompson is an individual health care provider with primary practice located at 5002 Highway 39 N Building B, Meridian MS 39301-1078. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Otto, Audrey Thompson can be contacted via phone (601) 483-7331.Contact Information
Primary practice address
5002 Highway 39 N Building B
Meridian MS 39301-1078
Phone: (601) 483-7331
Fax: (601) 483-3721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 897 | Mississippi |
Profile Details
| NPI number | 1538503222 |
|---|---|
| LBN Legal business name | Otto, Audrey Thompson |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2013 |
| Last updated | Apr 12th, 2022 - about 2 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 | 1538503222 | NPPES |
| Mississippi | MEDICAID | 07608766 |
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