Organization
RAYNER EYE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM D FARMER MD (OWNER)
(662) 234-6551
Entity
Organization
Contact information
Practice address
2606 S. LAMAR, OXFORD, MS 38655-5302
(662) 234-6551
Mailing address
1308 BELK BLVD, OXFORD, MS 38655-5302
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06350509
—
MS
01
—
C02819
MEDICARE PTAN
MS
Enumeration date
09/25/2006
Last updated
11/25/2022
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