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EYE CLINIC OF MERIDIAN PLLC NPI 1942285564


NPI Information

NPI: 1942285564
Provider Name: EYE CLINIC OF MERIDIAN PLLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1301 20TH AVE
MERIDIAN, MS
ZIP 39301
Phone: (601) 485-2368
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EYE CLINIC OF MERIDIAN PLLC is an ophthalmology in Meridian, MS. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. EYE CLINIC OF MERIDIAN PLLC NPI is 1942285564. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1301 20TH AVE
MERIDIAN, MS
ZIP 39301-121
Phone: (601) 485-2368
Fax: (601) 693-2174

The provider's authorized official is Don E Marascalco .
The authorized official title is Senior Partner and has the following contact phone number (601) 485-2368.

The enumeration date for this NPI number is 12/7/2005 and was last updated on 5/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristNo
2207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U91497MEDICARE UPIN
2G36508MEDICARE UPIN
3180000241MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPIDON E MARASCALCO MD
4C02590MEDICARE PINMISSISSIPPI
5051550437MEDICAIDALABAMA
6051550436MEDICAIDALABAMA
7410000260MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPIERIC J. JOHNSON II OD
8051550437MEDICARE ID-TYPE UNSPECIFIEDALABAMAJ. LAWRENCE MASON JR MD
900116642MEDICAIDMISSISSIPPI
10051554358MEDICARE ID-TYPE UNSPECIFIEDALABAMAERIC J. JOHNSON II OD
11009943235MEDICAIDALABAMA
1200880212MEDICAIDMISSISSIPPI
1300116589MEDICAIDMISSISSIPPI
14180041975OTHERALABAMADR MASON-RR MEDICARE
15051554358OTHERALABAMADR JOHNSON-RR MEDICARE
16C02590MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPIGROUP PROVIDER ID
17I424MEDICARE ID-TYPE UNSPECIFIEDALABAMAGROUP PROVIDER ID
18I424MEDICARE PINALABAMA
19180041976OTHERALABAMADR MARASCALCO-RR MEDICARE
20B65730MEDICARE UPIN
21180000242MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPIJ. LAWRENCE MASON JR MD
22051550436MEDICARE ID-TYPE UNSPECIFIEDALABAMADON E. MARASCALCO, MD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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