Bethany Ann South in Bay Springs - Optometrist

Bethany Ann South - NPI 1316137052

Bethany Ann South is a Optometrist in Bay Springs, Mississippi. Bethany Ann South practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Bethany Ann South is 1316137052. The last update date is 2011-01-12.

Bethany Ann South's current location address is Po Box 728, Bay Springs, Mississippi. You can contact this provider via phone number 6017642120. The mailing address for Bethany Ann South is Po Box 728, Bay Springs, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Bethany Ann South
Address Po Box 728, Bay Springs, Mississippi
Phone Number 6017642120
Fax Number
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1316137052
Provider Enumeration Date 2007-07-30
Last Updated Date 2011-01-12

Provider Mailing Address Detail

Address Po Box 728
City Bay Springs
State Mississippi (MS)
Post Code 394220728
Phone Number 6017642120
Fax Number

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 13338
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
13338 CA CALIFORNIA BOARD OF OPTOM
831 MS OPTOMETRY LICENSE

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FAQs about Bethany Ann South

What is the unique 10-digit identifier code issued to Bethany Ann South by the Centers for Medicare & Medicaid Services?

The Bethany Ann South has been assigned the NPI (National Provider Identifier) 1316137052 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Bethany Ann South is geographically located?

The Bethany Ann South is physically situated at the following location: Po Box 728, Bay Springs, MS, 394220728.

What is Bethany Ann South's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Bethany Ann South's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.

On what date did the Bethany Ann South receive the assignment of its 1316137052 from the Centers for Medicare & Medicaid Services?

The Bethany Ann South was issued its 1316137052 by the Centers for Medicare & Medicaid Services on 2007-07-30.

As of what date were the details related to Bethany Ann South most recently updated or revised?

The information pertaining to Bethany Ann South, including its address, specialty, and other relevant details, was last updated or revised on 2011-01-12.

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