Organization
EDGEWATER EYECARE, INC
Active
Parent organization
EDGEWATER EYECARE, INC
Other names
Vision Care Center/ Ocean Springs
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDGEWATER EYECARE, INC
Authorized official
DR. CHRIS K RAINS OD (OWNER/ OPTOMETRIST)
(228) 875-8785
Entity
Organization
Contact information
Practice address
1626 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-3000
(228) 875-8785
(228) 875-8745
Mailing address
1626 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-3000
(228) 875-8785
(228) 875-8745
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
567
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087012
—
MS
Enumeration date
08/11/2010
Last updated
08/11/2010
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