Organization
HERITAGE VISION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN HARRISON (OWNER)
(601) 264-1701
Entity
Organization
Contact information
Practice address
6096 U S HIGHWAY 98, STE. 1, HATTIESBURG, MS 39402-8885
(601) 264-1701
(601) 268-9109
Mailing address
6096 U S HIGHWAY 98, STE. 1, HATTIESBURG, MS 39402-8885
(601) 264-1701
(601) 268-9109
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
—
—
156FC0801X
Contact Lens Fitter
—
—
156FX1100X
Ophthalmic Technician/Technologist
—
—
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880044
—
MS
Enumeration date
03/13/2007
Last updated
03/07/2013
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