Organization
VISION CARE, INC.
Active
Other names
Spectacular Specs
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE CHADDRICK KEA O.D. (OWNER)
(662) 842-2000
Entity
Organization
Contact information
Practice address
3437 TUPELO COMMONS, SUITE 101, TUPELO, MS 38804-9791
(662) 842-2000
(662) 842-0379
Mailing address
3437 TUPELO COMMONS, SUITE 101, TUPELO, MS 38804-9791
(662) 842-2000
(662) 842-0379
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
578
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00409061
—
MS
01
—
2496303
UNITED HEALTH CARE
MS
01
—
426395452
BLUE CROSS BLUE SHIELD #
MS
01
—
C02019
GROUP MEDICARE PIN
MS
Enumeration date
03/13/2007
Last updated
04/16/2014
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