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Contact Information

ABERDEEN EYE CLINIC P A
114 N HICKORY ST
ABERDEEN, MS39730-2648
 Phone: 662-369-2444
 Fax: 662-369-7223
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ABERDEEN EYE CLINIC P A

NPI # 1003851304
LBN Legal business name ABERDEEN EYE CLINIC P A
Authorized official MARY LONG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/19/2006
Last updated 07/31/2009 - About 10 years ago
Identifiers
MS License # 490
MS Medicaid 00822765
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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