Professional Eyecare Associates ,Inc

LBN: Professional Eyecare Associates ,Inc
Professional Eyecare Associates ,Inc is an health care organization with primary practice located at 6704 Old Canton Rd , Ridgeland MS 39157-1225. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Professional Eyecare Associates ,Inc can be contacted via phone (601) 957-9292, or through Phillips, Michael J via phone (601) 957-9292.

Contact Information

Primary practice address
6704 Old Canton Rd Ridgeland MS 39157-1225
Phone: (601) 957-9292
Fax: (601) 957-7585
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Michael J Doctor of Optometry (OD)
Phone: (601) 957-9292

Health care specialties

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

Profile Details

NPI number 1497830020
LBN Legal business name Professional Eyecare Associates ,Inc
DBA Doing business as
Authorized official Phillips, Michael J Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Sep 16th, 2014 - about 12 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 1497830020 NPPES
Mississippi MEDICAID 03950565

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