Kregg S Bly is a Optometrist in Jackson, Mississippi. Kregg S Bly practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kregg S Bly is 1679672729. The last update date is 2018-12-21.
Kregg S Bly's current location address is 5300 Highway 18 W, Jackson, Mississippi. You can contact this provider via phone number 6019223233 and fax number 6019229225. The mailing address for Kregg S Bly is 5300 Highway 18 W, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kregg S Bly |
|---|---|
| Address | 5300 Highway 18 W, Jackson, Mississippi |
| Phone Number | 6019223233 |
| Fax Number | 6019229225 |
| Sole Proprietor | Y |
| Credentials | O.D |
NPI Number Detail
| NPI Number | 1679672729 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2018-12-21 |
Provider Mailing Address Detail
| Address | 5300 Highway 18 W |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392099411 |
| Phone Number | 6019223233 |
| Fax Number | 6019229225 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 598 |
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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 |
|---|---|---|---|
| 251027 | MS | NVA | |
| 42775 | MS | DAVIS | |
| 16054 | MS | SPECTERA | |
| MS0598 | MS | EYEMED/COLE | |
| 880136 | MS | -- | |
| 26696 | MS | AVESIS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kregg S Bly by the Centers for Medicare & Medicaid Services?
The Kregg S Bly has been assigned the NPI (National Provider Identifier) 1679672729 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Kregg S Bly located?
The Kregg S Bly is located at 5300 Highway 18 W, Jackson, MS 392099411.
What is Kregg S Bly's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kregg S Bly is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
On what date did the Kregg S Bly receive its 1679672729 assignment from the Centers for Medicare & Medicaid Services?
The Kregg S Bly was assigned its 1679672729 by the Centers for Medicare & Medicaid Services on 2006-09-22.
As of what date were the details related to Kregg S Bly most recently updated or revised?
The information pertaining to Kregg S Bly, including its address, specialty, and other relevant details, was last updated or revised on 2018-12-21.