Rolling Fork Eye Clinic is a
Optometrist based in Rolling Fork, Mississippi. Rolling Fork Eye Clinic is licensed to practice in * (Not Available) (license number ) and their current practice location is
64 S Fourth St, Rolling Fork, Mississippi. It can be reached at their office (for appointments etc.) via phone at
(662) 873-4045.
NPI number for Rolling Fork Eye Clinic is 1013130988 and their current mailing address is Po Box 185, Rolling Fork, Mississippi. Rolling Fork Eye Clinic
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1013130988.
Healthcare Provider's Profile
Full Name | Rolling Fork Eye Clinic |
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Type | Facility |
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Speciality | Optometrist |
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Location | 64 S Fourth St, Rolling Fork, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013130988
- Provider Enumeration Date: 04/10/2007
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Rolling Fork Eye Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013130988 | NPI | - | NPPES |
00087850 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rolling Fork Eye Clinic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Rolling Fork Eye Clinic Po Box 185, Rolling Fork, MS 39159-0185 Ph: (662) 873-4045 | Rolling Fork Eye Clinic 64 S Fourth St, Rolling Fork, MS 39159-5147 Ph: (662) 873-4045 |
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