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TUPELO EYE CENTER OPTICAL SHOP NPI 1801215272


NPI Information

NPI: 1801215272
Provider Name: TUPELO EYE CENTER OPTICAL SHOP
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
610 BRUNSON DR
TUPELO, MS
ZIP 38801
Phone: (662) 844-7211
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TUPELO EYE CENTER OPTICAL SHOP is an eyewear supplier in Tupelo, MS. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. TUPELO EYE CENTER OPTICAL SHOP NPI is 1801215272. The provider is registered as an organization entity type.

The provider's business location address is:

610 BRUNSON DR
TUPELO, MS
ZIP 38801-947
Phone: (662) 844-7211
Fax: (662) 680-4455

The provider's authorized official is Ryan D Russell .
The authorized official title is Optometrist and has the following contact phone number (662) 844-7211.

The enumeration date for this NPI number is 4/14/2014 and was last updated on 4/14/2014.


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
1332H00000XEyewear Supplier041067620MISSISSIPPIYes

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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