Kern Optical

LBN: Kern Optical
Kern Optical is an health care organization with primary practice located at 15277 Creosote Rd , Gulfport MS 39503-4233. 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. Kern Optical can be contacted via phone (228) 864-4397, or through Brooks, M Dennis via phone (228) 864-4397.

Contact Information

Primary practice address
15277 Creosote Rd Gulfport MS 39503-4233
Phone: (228) 864-4397
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brooks, M Dennis
Phone: (228) 864-4397

Health care specialties

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

Profile Details

NPI number 1396838272
LBN Legal business name Kern Optical
DBA Doing business as
Authorized official Brooks, M Dennis
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Aug 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396838272 NPPES
Mississippi MEDICAID 00089822

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