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Contact Information

KERN OPTICAL
15277 CREOSOTE RD
GULFPORT, MS39503-4233
 Phone: 228-864-4397
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for KERN OPTICAL

NPI # 1396838272
LBN Legal business name KERN OPTICAL
Authorized official M BROOKS - (OPERATING OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MS Medicaid 00089822
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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