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Contact Information

COLUMBUS OPTICAL DISPENSARY
1928 5TH ST N
COLUMBUS, MS39705
 Phone: 662-328-5781
 Fax: 662-328-7281
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmic Technician/Technologist

156FX1100X
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for COLUMBUS OPTICAL DISPENSARY

NPI Number 1578584686
LBN Legal business name COLUMBUS OPTICAL DISPENSARY
Authorized official MICHAEL LEE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2006
Last updated 06/21/2018 - About 8 years ago
Identifiers
MS Medicaid 00089020
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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