Individual
DR. CHARLES EDWIN MCMASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIST
Contact information
Practice address
120 PROMENADE BLVD, FLOWOOD, MS 39232-8017
(601) 992-1010
(601) 992-7700
Mailing address
120 PROMENADE BLVD, FLOWOOD, MS 39232-8017
(601) 992-1010
(601) 992-7700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3504
TX
152W00000X
Optometrist
Primary
530
MS
152W00000X
Optometrist
997
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08277878
—
MS
01
—
410048020
RR MEDICARE
MS
01
—
5539
DAVIS VISION
MS
01
—
640935907A
NISSAN, BCBS OF TENN.
MS
Enumeration date
07/18/2006
Last updated
09/12/2016
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