COCHRAN OPTICAL DISPENSARY; NPI #1619146883

Contact Information

COCHRAN OPTICAL DISPENSARY

118 W NORTH ST
KOSCIUSKO, MS 39090-3211

Phone: 662-289-9581
Fax: 662-289-9967
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for COCHRAN OPTICAL DISPENSARY

NPI Number 1619146883

LBN Legal business name COCHRAN OPTICAL DISPENSARY

Authorized official GARY COCHRAN - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/21/2008

Last updated 06/11/2008 - About 18 years ago

Identifiers

MS	License #	056063
MS	Medicaid	00089021

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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COCHRAN OPTICAL DISPENSARY

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for COCHRAN OPTICAL DISPENSARY

Reviews for COCHRAN OPTICAL DISPENSARY