| New Albany Vision Clinic, P.a. | |
|
484 W Bankhead St New Albany MS 38652-3319 | |
| (662) 534-0101 | |
| (662) 534-8005 |
| Full Name | New Albany Vision Clinic, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 484 W Bankhead St, New Albany, Mississippi |
| Authorized Official Name and Position | Robin Bennett (PRESIDENT) |
| Authorized Official Contact | 6625340101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Albany Vision Clinic, P.a. 484 W Bankhead St New Albany MS 38652-3319 Ph: (662) 534-0101 | New Albany Vision Clinic, P.a. 484 W Bankhead St New Albany MS 38652-3319 Ph: (662) 534-0101 |
| NPI Number | 1891934931 |
|---|---|
| Provider Enumeration Date | 02/12/2009 |
| Last Update Date | 02/12/2009 |
| Medicare PECOS PAC ID | 3678638319 |
|---|---|
| Medicare Enrollment ID | O20090213000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891934931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Robin D Bennett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700986452 PECOS PAC ID: 7618031378 Enrollment ID: I20090126000385 |
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