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Contact Information

COLDWATER VISION CENTER LLC
412 CENTRAL AVENUE
COLDWATER, MS38618
 Phone: 662-622-5173
 Fax: 662-622-5590
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for COLDWATER VISION CENTER LLC

NPI Number 1003952383
LBN Legal business name COLDWATER VISION CENTER LLC
Authorized official KRISTOPHER MAY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2007
Last updated 04/20/2008 - About 18 years ago
Identifiers
MS Medicaid 08152004
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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