Riverbend Eyecare, P.A. in Vicksburg - Optometrist
Riverbend Eyecare, P.A. - NPI 1811957624
Riverbend Eyecare, P.A. is a Optometrist in Vicksburg, Mississippi. Riverbend Eyecare, P.A. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Riverbend Eyecare, P.A. is 1811957624. The last update date is 2012-10-15.
Riverbend Eyecare, P.A.'s current location address is 3505 Pemberton Square Blvd, Vicksburg, Mississippi. You can contact this provider via phone number 6016309199 and fax number 6016300426. The mailing address for Riverbend Eyecare, P.A. is 3505 Pemberton Square Blvd, Vicksburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Riverbend Eyecare, P.A. |
|---|---|
| Address | 3505 Pemberton Square Blvd, Vicksburg, Mississippi |
| Phone Number | 6016309199 |
| Fax Number | 6016300426 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Prudhomme L. David |
| Credentials | O.D. |
| Telephone Number | 6016309199 |
NPI Number Detail
| NPI Number | 1811957624 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2012-10-15 |
Provider Mailing Address Detail
| Address | 3505 Pemberton Square Blvd |
|---|---|
| City | Vicksburg |
| State | Mississippi (MS) |
| Post Code | 391805537 |
| Phone Number | 6016309199 |
| Fax Number | 6016300426 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | MS579 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 880004 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Riverbend Eyecare, P.A. by the Centers for Medicare & Medicaid Services (CMS)?
The Riverbend Eyecare, P.A. has been assigned the NPI (National Provider Identifier) 1811957624. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Riverbend Eyecare, P.A.'s facilities are geographically located?
The facilities of Riverbend Eyecare, P.A. are physically situated at the following location: 3505 Pemberton Square Blvd, Vicksburg, MS, 391805537.
What is Riverbend Eyecare, P.A.'s area of expertise and its corresponding taxonomy classification?
The Riverbend Eyecare, P.A.'s field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1811957624 to Riverbend Eyecare, P.A.?
The Riverbend Eyecare, P.A. received its 1811957624 assignment from the Centers for Medicare & Medicaid Services on 2006-03-24.
As of what date was the information regarding Riverbend Eyecare, P.A., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Riverbend Eyecare, P.A., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-15.
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