Alvaro J Moreno Od Pc
LBN: Alvaro J Moreno Od Pc
Alvaro J Moreno Od Pc is an health care organization with primary practice located at 598 E Central Ave , Petal MS 39465-2957. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Alvaro J Moreno Od Pc can be contacted via phone (601) 450-3937, or through Moreno, Alvaro J via phone (601) 549-1553.
Contact Information
Primary practice address
598 E Central Ave
Petal MS 39465-2957
Phone: (601) 450-3937
Fax: (601) 909-6104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 610 | Mississippi |
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1013085935 |
|---|---|
| LBN Legal business name | Alvaro J Moreno Od Pc |
| DBA Doing business as | |
| Authorized official | Moreno, Alvaro J Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Sep 8th, 2020 - about 6 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 | 1013085935 | NPPES |
| Mississippi | MEDICAID | 08637209 |
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