Professional Optical Of Mississippi Inc

LBN: Professional Optical Of Mississippi Inc
Professional Optical Of Mississippi Inc is an health care organization with primary practice located at 1208 Mission 66 , Vicksburg MS 39183-3137. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Professional Optical Of Mississippi Inc can be contacted via phone (601) 636-5541, or through Anthony, Harris C via phone (601) 636-5541.

Contact Information

Primary practice address
1208 Mission 66 Vicksburg MS 39183-3137
Phone: (601) 636-5541
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anthony, Harris C OPTICIAN
Phone: (601) 636-5541

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1417145624
LBN Legal business name Professional Optical Of Mississippi Inc
DBA Doing business as
Authorized official Anthony, Harris C OPTICIAN
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2007
Last updated Jan 11th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417145624 NPPES
Mississippi MEDICAID 00880167

Popular Providers