BROOKHAVEN OPTICAL INC; NPI #1821080250

Contact Information

BROOKHAVEN OPTICAL INC

347 W CHEROKEE ST
BROOKHAVEN, MS 39601-3219

Phone: 601-833-1958
Fax: 601-833-3938
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 BROOKHAVEN OPTICAL INC

NPI # 1821080250

LBN Legal business name BROOKHAVEN OPTICAL INC

Authorized official NATLIE HERNDON - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/22/2005

Last updated 08/22/2020 - About 6 years ago

Identifiers

Medicaid

00089220

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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BROOKHAVEN OPTICAL INC

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for BROOKHAVEN OPTICAL INC

Reviews for BROOKHAVEN OPTICAL INC