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OXFORD UNIVERSITY EYECARE PLLC NPI 1376939975


NPI Information

NPI: 1376939975
Provider Name: OXFORD UNIVERSITY EYECARE PLLC

Former Legal Business Name: RANDLE OPTOMETRIC SERVICES PLLC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2708 W OXFORD LOOP
110
OXFORD, MS
ZIP 38655
Phone: (662) 213-3937
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OXFORD UNIVERSITY EYECARE PLLC is a clinic center in Oxford, MS. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). OXFORD UNIVERSITY EYECARE PLLC NPI is 1376939975. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Randle Optometric Services Pllc.

The provider's business location address is:

2708 W OXFORD LOOP
110
OXFORD, MS
ZIP 38655-714
Phone: (662) 213-3937

The provider's authorized official is Eric D Randle .
The authorized official title is Optometrist and has the following contact phone number (662) 213-3937.

The enumeration date for this NPI number is 4/9/2015 and was last updated on 11/9/2021.


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
1261Q00000XClinic/Center687MISSISSIPPIYes

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
104600368MEDICAIDMISSISSIPPI
202438061MEDICAIDMISSISSIPPI

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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