National Provider Identifier Database

HERITAGE VISION CENTER INC
Optician


Contact Information

HERITAGE VISION CENTER INC
6096 U S HIGHWAY 98
STE. 1
HATTIESBURG, MS39402-8885
Phone: 601-264-1701
Fax: 601-268-9109
Website:
Specialty Taxonomy Code
* Optician 156FX1800X
Contact Lens 156FC0800X
Contact Lens Fitter 156FC0801X
Ophthalmic Technician/Technologist 156FX1100X

* Indicates primary specialty

NPI Profile & details for HERITAGE VISION CENTER INC

NPI Number 1447383021
Legal business name
LBN
HERITAGE VISION CENTER INC
Authorized official KEVIN HARRISON - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/13/2007
Last updated 03/07/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • MS Medicaid: 00880044

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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