Routt Eye Clinic

LBN: Routt Eye Clinic
Routt Eye Clinic is an health care organization with primary practice located at 107 S Natchez St , Kosciusko MS 39090-3741. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Routt Eye Clinic can be contacted via phone (662) 289-4131, or through Routt, Lawrence Adrian via phone (662) 289-4131.

Contact Information

Primary practice address
107 S Natchez St Kosciusko MS 39090-3741
Phone: (662) 289-4131
Fax: (662) 289-5348
Website:
Map and Directions
Authorized official contact:
Name: Routt, Lawrence Adrian Doctor of Optometry (OD)
Phone: (662) 289-4131

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 471 Mississippi

Profile Details

NPI number 1942487558
LBN Legal business name Routt Eye Clinic
DBA Doing business as
Authorized official Routt, Lawrence Adrian Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2008
Last updated Jan 25th, 2008 - about 18 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 1942487558 NPPES
Mississippi MEDICAID 00087888

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