Brookhaven Optical Inc in Brookhaven - Eyewear Supplier
Brookhaven Optical Inc - NPI 1821080250
Brookhaven Optical Inc is a Eyewear Supplier in Brookhaven, Mississippi. Brookhaven Optical Inc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Brookhaven Optical Inc is 1821080250. The last update date is 2020-08-22.
Brookhaven Optical Inc's current location address is 347 W Cherokee St, Brookhaven, Mississippi. You can contact this provider via phone number 6018331958 and fax number 6018333938. The mailing address for Brookhaven Optical Inc is 347 W Cherokee St, Brookhaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brookhaven Optical Inc |
|---|---|
| Address | 347 W Cherokee St, Brookhaven, Mississippi |
| Phone Number | 6018331958 |
| Fax Number | 6018333938 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Herndon Brown Natlie |
| Credentials | M.S., PH.D |
| Telephone Number | 6018331958 |
NPI Number Detail
| NPI Number | 1821080250 |
|---|---|
| Provider Enumeration Date | 2005-08-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 347 W Cherokee St |
|---|---|
| City | Brookhaven |
| State | Mississippi (MS) |
| Post Code | 396013219 |
| Phone Number | 6018331958 |
| Fax Number | 6018333938 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89220 | MS | -- |
Post Comment/ Review Below
What is the Brookhaven Optical Inc's 1821080250?
The Brookhaven Optical Inc's NPI (National Provider Identifier) Number is 1821080250. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Brookhaven Optical Inc?
The Brookhaven Optical Inc is physically situated at 347 W Cherokee St, in the city of Brookhaven, state of MS, with the postal code 396013219.
What is Brookhaven Optical Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brookhaven Optical Inc's specialized field of practice is Eyewear Supplier, and the corresponding taxonomy code that categorizes this area of specialization is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1821080250 to Brookhaven Optical Inc?
The Brookhaven Optical Inc received its 1821080250 assignment from the Centers for Medicare & Medicaid Services on 2005-08-22.
As of what date were the details related to Brookhaven Optical Inc most recently updated or revised?
The information pertaining to Brookhaven Optical Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.