Mendenhall Optometric Eye Clinic, P.a. is a
Optometrist based in Mendenhall, Mississippi. Mendenhall Optometric Eye Clinic, P.a. is licensed to practice in Mississippi (license number 423) and their current practice location is
1021 East St, Mendenhall, Mississippi. It can be reached at their office (for appointments etc.) via phone at
(601) 847-1232.
NPI number for Mendenhall Optometric Eye Clinic, P.a. is 1184742843 and their current mailing address is P. O. Box 577, Mendenhall, Mississippi. Mendenhall Optometric Eye Clinic, P.a.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1184742843.
Healthcare Provider's Profile
| Full Name | Mendenhall Optometric Eye Clinic, P.a. |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 1021 East St, Mendenhall, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184742843
- Provider Enumeration Date: 03/27/2007
- Last Update Date: 04/20/2008
Medical Identifiers
Medical identifiers for Mendenhall Optometric Eye Clinic, P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184742843 | NPI | - | NPPES |
| C03245 | Other | MS | GROUP SUPPLIER CODE |
| 00087015 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 423 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mendenhall Optometric Eye Clinic, P.a. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mendenhall Optometric Eye Clinic, P.a.
P. O. Box 577,
Mendenhall, MS 39114-3107
Ph: (601) 847-1232 | Mendenhall Optometric Eye Clinic, P.a.
1021 East St,
Mendenhall, MS 39114-3107
Ph: (601) 847-1232 |
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