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Contact Information

C CHRIS COLLINS, O. D.
1206 MISSION 66
VICKSBURG, MS39183-3137
 Phone: 601-638-2081
 Fax: 601-638-2171
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for C CHRIS COLLINS · (Male)

NPI # 1679682835
Status Active
Credentials O. D.
Entity Individual
Enumeration date 08/30/2006
Last updated 11/14/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 522
  • MS Medicaid 00087003
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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