Individual
DR. NEIL SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
110 N VAN BUREN ST, CARTHAGE, MS 39051-4126
(601) 267-7777
(601) 267-7774
Mailing address
110 N VAN BUREN ST, CARTHAGE, MS 39051-4126
(601) 267-7777
(601) 267-7774
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
563
MS
152WC0802X
Corneal and Contact Management Optometrist
563
MS
152WP0200X
Pediatric Optometrist
563
MS
152WS0006X
Sports Vision Optometrist
563
MS
152WX0102X
Occupational Vision Optometrist
563
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880215
—
MS
Enumeration date
08/31/2006
Last updated
05/06/2008
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