Grant Eye Care, Llc | |
5219 Highway 51 N Senatobia MS 38668-1719 | |
(662) 612-6016 | |
(662) 612-6031 |
Full Name | Grant Eye Care, Llc |
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Speciality | Clinic/Center |
Location | 5219 Highway 51 N, Senatobia, Mississippi |
Authorized Official Name and Position | Jared Acker Grant (OWNER) |
Authorized Official Contact | 6626126016 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grant Eye Care, Llc 5219 Highway 51 N Senatobia MS 38668-1719 Ph: (662) 612-6016 | Grant Eye Care, Llc 5219 Highway 51 N Senatobia MS 38668-1719 Ph: (662) 612-6016 |
NPI Number | 1144685439 |
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Provider Enumeration Date | 12/31/2015 |
Last Update Date | 12/31/2015 |
Medicare PECOS PAC ID | 6709180011 |
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Medicare Enrollment ID | O20160208000592 |
Identifier | Type | State | Issuer |
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1144685439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 923 (Mississippi) | Primary |
Provider Name | Jared Grant |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1821472267 PECOS PAC ID: 7517261829 Enrollment ID: I20160208000652 |
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