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Contact Information

CHEATHAM EYECARE LLC
227 COMMERCE ST
WEST POINT, MS39773-2921
 Phone: 662-494-5984
 Fax: 662-494-3805
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CHEATHAM EYECARE LLC

NPI Number 1114129368
LBN Legal business name CHEATHAM EYECARE LLC
Authorized official DAVID CHEATHAM - (OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/01/2007
Last updated 11/27/2012 - About 14 years ago
Identifiers
MS License # MS656
MS Medicaid 09016249
MS Other 426556546A BLUE CROSS
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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