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PRECISION OPTICAL DISPENSARY INC. NPI 1104948793


NPI Information

NPI: 1104948793
Provider Name: PRECISION OPTICAL DISPENSARY, INC.
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
1490 WEST GOVERNMENT STREET SUITE 8
PRECISION OPTICAL DISPENSARY, INC.
BRANDON, MS
ZIP 39042
Phone: (601) 825-1992
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PRECISION OPTICAL DISPENSARY, INC. is an optician technician technologist in Brandon, MS. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. PRECISION OPTICAL DISPENSARY, INC. NPI is 1104948793. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1490 WEST GOVERNMENT STREET SUITE 8
PRECISION OPTICAL DISPENSARY, INC.
BRANDON, MS
ZIP 39042
Phone: (601) 825-1992
Fax: (601) 825-1091

The provider's authorized official is Glyn Wayne Harris .
The authorized official title is President and has the following contact phone number (601) 825-1992.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 10/15/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOptician10192MISSISSIPPINo
2156FX1800XTechnician/TechnologistOpticianYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100880113MEDICAIDMISSISSIPPI
25361050002MEDICARE NSCMISSISSIPPI

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: 5/5/2024

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