Organization
LUM'S OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLIE L LUM OPTICIAN (PRESIDENT)
(662) 335-4553
Entity
Organization
Contact information
Practice address
1550 N MEDICAL PARK DR STE B, SUITE B, GREENVILLE, MS 38703-7239
(662) 335-4553
Mailing address
1550 N MEDICAL PARK DR STE B, SUITE B, GREENVILLE, MS 38703-7239
(662) 335-4553
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
076103019
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880177
—
MS
Enumeration date
01/16/2007
Last updated
09/16/2008
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