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Contact Information

WILEY VISION CARE LLC
200 MARKET PLACE DR
RICHLAND, MS39218
 Phone: 601-420-2101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for WILEY VISION CARE LLC

NPI # 1710177688
LBN Legal business name WILEY VISION CARE LLC
Authorized official MARK WILEY - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/27/2007
Last updated 02/20/2024 - About 2 years ago
Identifiers
MS License # 721
MS Medicaid 00272896
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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