BROOKHAVEN OPTICAL INC NPI 1821080250

NPI Information

  • NPI: 1821080250
  • Provider Name: BROOKHAVEN OPTICAL INC
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Doing Business As: OPTICAL OUTLET
  • Address: 347 W CHEROKEE ST
    BROOKHAVEN, MS
    ZIP 39601
  • Phone: (601) 833-1958

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NPI Details

BROOKHAVEN OPTICAL INC is an eyewear supplier in Brookhaven, MS. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. BROOKHAVEN OPTICAL INC NPI is 1821080250. The provider is registered as an organization entity type.
The provider Is Doing Business As Optical Outlet.

The provider's business location address is:

347 W CHEROKEE ST
BROOKHAVEN, MS
ZIP 39601-219
Phone: (601) 833-1958
Fax: (601) 833-3938

The provider's authorized official is Natlie Brown Herndon .
The authorized official title is President and has the following contact phone number (601) 833-1958.

The enumeration date for this NPI number is 8/22/2005 and was last updated on 8/22/2020.

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
1332H00000XEyewear SupplierYes

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
100089220MEDICAIDMISSISSIPPI

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: 11/21/2025

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