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Contact Information

CLEVELAND EYE CLINIC PA
136 NORTH STREET
CLEVELAND, MS38732
 Phone: 662-846-6641
 Fax: 662-846-6644
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CLEVELAND EYE CLINIC PA

NPI # 1962571380
LBN Legal business name CLEVELAND EYE CLINIC PA
Authorized official EMMETT SMITH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/07/2006
Last updated 03/18/2008 - About 18 years ago
Identifiers
MS License # 546
MS Medicaid 09957099
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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