Organization
EDGEWATER EYECARE, INC
Active
Other names
Vision Care Center / Dr. Chris K. Rains
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS K RAINS OD (OPTOMETRIST)
(228) 388-1115
Entity
Organization
Contact information
Practice address
2318 PASS RD STE 1, BILOXI, MS 39531-4044
(228) 388-1115
(228) 388-1511
Mailing address
2318 PASS RD STE 1, BILOXI, MS 39531-4044
(228) 388-1115
(228) 388-1511
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
567
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087012
—
MS
01
—
426359338A
BLUE CROSS BLUE SHIELD
MS
Enumeration date
08/16/2007
Last updated
08/16/2007
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