Grady Mims Clark in Meridian - Corneal And Contact Management
Grady Mims Clark - NPI 1831276278
Grady Mims Clark is a Corneal And Contact Management in Meridian, Mississippi. Grady Mims Clark practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for Grady Mims Clark is 1831276278. The last update date is 2018-09-11.
Grady Mims Clark's current location address is 2112 N Frontage Rd, Meridian, Mississippi. You can contact this provider via phone number 6016932020 and fax number 6016932690. The mailing address for Grady Mims Clark is 2112 N Frontage Rd, Meridian, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grady Mims Clark |
|---|---|
| Address | 2112 N Frontage Rd, Meridian, Mississippi |
| Phone Number | 6016932020 |
| Fax Number | 6016932690 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1831276278 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2018-09-11 |
Provider Mailing Address Detail
| Address | 2112 N Frontage Rd |
|---|---|
| City | Meridian |
| State | Mississippi (MS) |
| Post Code | 393016158 |
| Phone Number | 6016932020 |
| Fax Number | 6016932690 |
Provider's Primary Taxonomy Detail
| Speciality | Corneal And Contact Management |
|---|---|
| Taxonomy | 152Wc0802X |
| Licence No | 457 |
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Definition: The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition whi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 87865 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Grady Mims Clark?
The Grady Mims Clark has been issued the NPI (National Provider Identifier) 1831276278 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Grady Mims Clark is geographically located?
The Grady Mims Clark is physically situated at the following location: 2112 N Frontage Rd, Meridian, MS, 393016158.
What is Grady Mims Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Grady Mims Clark is Corneal And Contact Management, and the corresponding taxonomy classification code for this specialized field is 152Wc0802X.
On what date did Grady Mims Clark receive its 1831276278 assignment from the Centers for Medicare & Medicaid Services?
The Grady Mims Clark was assigned its 1831276278 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Grady Mims Clark's details last updated?
The information pertaining to the Grady Mims Clark, including its address, specialty, and other details, was most recently updated on 2018-09-11.