John Vernon Petro in Hattiesburg - Ophthalmology
John Vernon Petro - NPI 1124020169
John Vernon Petro is a Ophthalmology in Hattiesburg, Mississippi. John Vernon Petro practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for John Vernon Petro is 1124020169. The last update date is 2023-03-07.
John Vernon Petro's current location address is 102 E Hospital Dr, Hattiesburg, Mississippi. You can contact this provider via phone number 6012685144 and fax number 6012685179. The mailing address for John Vernon Petro is 102 E Hospital Dr, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Vernon Petro |
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Address | 102 E Hospital Dr, Hattiesburg, Mississippi |
Phone Number | 6012685144 |
Fax Number | 6012685179 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1124020169 |
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Provider Enumeration Date | 2005-08-10 |
Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
Address | 102 E Hospital Dr |
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City | Hattiesburg |
State | Mississippi (MS) |
Post Code | 394021310 |
Phone Number | 6012685144 |
Fax Number | 6012685179 |
Provider's Primary Taxonomy Detail
Speciality | Ophthalmology |
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Taxonomy | 207W00000X |
Licence No | 9169 |
Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
115554 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John Vernon Petro by the Centers for Medicare & Medicaid Services (CMS)?
The John Vernon Petro has been assigned the NPI (National Provider Identifier) 1124020169. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where John Vernon Petro is located?
The John Vernon Petro is situated at the following address: 102 E Hospital Dr, Hattiesburg, MS, 394021310.
What is John Vernon Petro's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Vernon Petro's specialized field of practice is Ophthalmology, and the corresponding taxonomy code that categorizes this area of specialization is 207W00000X.
On what date did the John Vernon Petro receive the assignment of its 1124020169 from the Centers for Medicare & Medicaid Services?
The John Vernon Petro was issued its 1124020169 by the Centers for Medicare & Medicaid Services on 2005-08-10.
When was the information pertaining to John Vernon Petro most recently updated or revised?
The details related to John Vernon Petro, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.