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Organization

EYE CLINIC OF MERIDIAN PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DON E MARASCALCO MD (SENIOR PARTNER)
(601) 485-2368
Entity
Organization

Contact information

Practice address
1301 20TH AVE, MERIDIAN, MS 39301-4121
(601) 485-2368
(601) 693-2174
Mailing address
PO BOX 1551, MERIDIAN, MS 39302-1551
(601) 485-2368
(601) 693-2174

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00116589
MS
05
00116642
MS
05
00880212
MS
05
009943235
AL
05
051550436
AL
05
051550437
AL
01
051554358
DR JOHNSON-RR MEDICARE
AL
01
180041975
DR MASON-RR MEDICARE
AL
01
180041976
DR MARASCALCO-RR MEDICARE
AL
Enumeration date
12/07/2005
Last updated
05/19/2008
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