Organization
CARTHAGE EYE CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP MARLER OD (OWNER)
(601) 267-9351
Entity
Organization
Contact information
Practice address
201 HWY 16 EAST, CARTHAGE, MS 39051
(601) 267-9351
(601) 267-9004
Mailing address
PO BOX 911, CARTHAGE, MS 39051-0911
(601) 267-9351
(601) 267-9004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
605
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880054
—
MS
05
—
02157371
—
MS
01
—
5196240001
DMERC
MS
01
—
586608111B
BCBS
MS
Enumeration date
06/06/2007
Last updated
01/03/2011
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