<Unavail>

LBN: Wilburn Lord Jr
<Unavail> is an health care organization with primary practice located at 239 S Washington Ave , Greenville MS 38701-4234. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Wilburn Lord Jr can be contacted via phone (662) 332-0163, or through Anderson, Ruth via phone (662) 332-0163.

Contact Information

Primary practice address
239 S Washington Ave Greenville MS 38701-4234
Phone: (662) 332-0163
Fax: (662) 378-3394
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Ruth
Phone: (662) 332-0163

Health care specialties

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

Profile Details

NPI number 1275707226
LBN Legal business name Wilburn Lord Jr
DBA Doing business as <Unavail>
Authorized official Anderson, Ruth
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2008
Last updated Jun 23rd, 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 1275707226 NPPES
Mississippi MEDICAID 00087850

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