The Eye Clinic Pa
LBN: The Eye Clinic Pa
The Eye Clinic Pa is an health care organization with primary practice located at 1900 23Rd Ave , Gulfport MS 39501-2965. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty.
The Eye Clinic Pa can be contacted via phone (228) 864-2633, or through Sams, William C via phone (228) 864-2633.
Contact Information
Primary practice address
1900 23Rd Ave
Gulfport MS 39501-2965
Phone: (228) 864-2633
Fax: (228) 865-0339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1427002864 |
|---|---|
| LBN Legal business name | The Eye Clinic Pa |
| DBA Doing business as | |
| Authorized official | Sams, William C Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Apr 5th, 2022 - about 2 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 | 1427002864 | NPPES |
| Mississippi | MEDICAID | 09013545 |
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