National Provider Identifier Database

PRECISION OPTICAL DISPENSARY INC
Optician


Contact Information

PRECISION OPTICAL DISPENSARY, INC.
1490 WEST GOVERNMENT STREET SUITE 8
PRECISION OPTICAL DISPENSARY, INC.
BRANDON, MS39042
Phone: 601-825-1992
Fax: 601-825-1091
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for PRECISION OPTICAL DISPENSARY, INC.

NPI Number 1104948793
Legal business name
LBN
PRECISION OPTICAL DISPENSARY, INC.
Authorized official GLYN HARRIS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/04/2007
Last updated 10/15/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 10192
  • MS Medicaid: 00880113

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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