Picayune Eye Clinic
LBN: Picayune Eye Clinic
Picayune Eye Clinic is an health care organization with primary practice located at 908 Sixth Ave , Picayune MS 39466-3802. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Picayune Eye Clinic can be contacted via phone (601) 798-4182, or through Blackmer, Lori L via phone (601) 798-4182.
Contact Information
Primary practice address
908 Sixth Ave
Picayune MS 39466-3802
Phone: (601) 798-4182
Fax: (601) 798-4770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 559 | Mississippi |
Profile Details
| NPI number | 1922067016 |
|---|---|
| LBN Legal business name | Picayune Eye Clinic |
| DBA Doing business as | |
| Authorized official | Blackmer, Lori L Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Mar 18th, 2010 - about 16 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 | 1922067016 | NPPES |
| Mississippi | MEDICAID | 00087010 | |
| Mississippi | Other | 263673909 | |
| Mississippi | Other | DA2690 | |
| Mississippi | Other | 0661580001 | |
| Mississippi | Other | 2230045 | |
| Mississippi | Other | 410012249 | |
| Mississippi | Other | C02306 |
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