Organization
DR. CHUCK BARNES, PA
Active
Other names
MCCOMB EYE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD SMITH OD (PRESIDENT)
(601) 684-6241
Entity
Organization
Contact information
Practice address
414A MARION AVE, MCCOMB, MS 39648-2710
(601) 684-6241
(601) 684-0280
Mailing address
PO BOX 688, MCCOMB, MS 39649-0688
(601) 684-6241
(601) 684-0280
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880058
—
MS
01
—
1393509
MEDICAID
LA
01
—
41000004
MEDICARE ID-TYPE UNSPECIFIED
MS
Enumeration date
09/23/2008
Last updated
02/18/2025
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