Tupelo Vision Center

LBN: Barnes Crossing Vision Center P. A.
Tupelo Vision Center is an health care organization with primary practice located at 3929 N Gloster St , Tupelo MS 38804-0915. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Barnes Crossing Vision Center P. A. can be contacted via phone (662) 840-4624, or through Mccullough, Mike L via phone (662) 243-2600.

Contact Information

Primary practice address
3929 N Gloster St Tupelo MS 38804-0915
Fax:
Website:
Authorized official contact:
Name: Mccullough, Mike L M.S.

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 487 Mississippi
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X TPA 94061 Mississippi

Profile Details

NPI number 1407825037
LBN Legal business name Barnes Crossing Vision Center P. A.
DBA Doing business as Tupelo Vision Center
Authorized official Mccullough, Mike L M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2006
Last updated Nov 13th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407825037 NPPES
Mississippi MEDICAID 03888791

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