<Unavail>

LBN: Micheal G Cook Od Pc
<Unavail> is an health care organization with primary practice located at 3044 Goodman Rd E , Southaven MS 38672-8760. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Micheal G Cook Od Pc can be contacted via phone (662) 349-1660, or through Cook, Michael G via phone (662) 349-1660.

Contact Information

Primary practice address
3044 Goodman Rd E Southaven MS 38672-8760
Phone: (662) 349-1660
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cook, Michael G Doctor of Optometry (OD)
Phone: (662) 349-1660

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1336287572
LBN Legal business name Micheal G Cook Od Pc
DBA Doing business as <Unavail>
Authorized official Cook, Michael G Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated Aug 15th, 2013 - about 13 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 1336287572 NPPES
Mississippi MEDICAID 09016295

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