Organization
NEIL H. SIMMONS, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL H. SIMMONS O.D. (OWNER)
(601) 267-7777
Entity
Organization
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
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880215
—
MS
01
—
410000046
MEDICARE
MS
Enumeration date
05/06/2008
Last updated
05/06/2008
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