Organization
MS EYE CARE PA
Active
Parent organization
MS EYE CARE PA
Other names
NOXUBEE EYE CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MS EYE CARE PA
Authorized official
TAMMY WOMBLE (CREDENTIALING)
(662) 446-9000
Entity
Organization
Contact information
Practice address
3027 JEFFERSON ST, MACON, MS 39341-2275
(662) 726-6111
(662) 726-6110
Mailing address
PO BOX 826, PHILADELPHIA, MS 39350-0826
(662) 446-9000
(662) 779-4030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
517
MS
152W00000X
Optometrist
560
MS
152W00000X
Optometrist
762
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05208871
—
MS
Enumeration date
08/16/2006
Last updated
05/24/2022
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