PRECISION OPTICAL DISPENSARY, INC.; NPI #1104948793

Contact Information

PRECISION OPTICAL DISPENSARY, INC.

1490 WEST GOVERNMENT STREET SUITE 8
PRECISION OPTICAL DISPENSARY, INC.
BRANDON, MS 39042

Phone: 601-825-1992
Fax: 601-825-1091
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Optician	156FX1800X	96[5]	Optician

Indicates primary specialty

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NPI Profile & details for PRECISION OPTICAL DISPENSARY, INC.

NPI Number 1104948793

LBN Legal business name PRECISION OPTICAL DISPENSARY, INC.

Authorized official GLYN HARRIS - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/04/2007

Last updated 10/15/2009 - About 17 years ago

Identifiers

MS	License #	10192
MS	Medicaid	00880113

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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PRECISION OPTICAL DISPENSARY, INC.

Contact Information

Specialty

Optician

NPI Profile & details for PRECISION OPTICAL DISPENSARY, INC.

Reviews for PRECISION OPTICAL DISPENSARY, INC.