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STANFORD VISION CLINIC LLC NPI 1679044044


NPI Information

NPI: 1679044044
Provider Name: STANFORD VISION CLINIC LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
306 N COMMERCE ST
RIPLEY, MS
ZIP 38663
Phone: (662) 837-7822
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STANFORD VISION CLINIC LLC is a clinic center in Ripley, 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). STANFORD VISION CLINIC LLC NPI is 1679044044. The provider is registered as an organization entity type.

The provider's business location address is:

306 N COMMERCE ST
RIPLEY, MS
ZIP 38663-721
Phone: (662) 837-7822

The provider's authorized official is Megan Roebuck Stanford .
The authorized official title is Optometrist/owner and has the following contact phone number (901) 647-0988.

The enumeration date for this NPI number is 12/11/2018 and was last updated on 12/11/2018.


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
1261Q00000XClinic/CenterYes

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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