Oxford University Eyecare Pllc | |
2708 W Oxford Loop 110 Oxford MS 38655-5714 | |
(662) 213-3937 | |
Not Available |
Full Name | Oxford University Eyecare Pllc |
---|---|
Speciality | Clinic/Center |
Location | 2708 W Oxford Loop, Oxford, Mississippi |
Authorized Official Name and Position | Eric D Randle (OPTOMETRIST) |
Authorized Official Contact | 6622133937 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Oxford University Eyecare Pllc 2708 W Oxford Loop Ste 110 Oxford MS 38655-5724 Ph: (662) 380-5041 | Oxford University Eyecare Pllc 2708 W Oxford Loop 110 Oxford MS 38655-5714 Ph: (662) 213-3937 |
NPI Number | 1376939975 |
---|---|
Provider Enumeration Date | 04/09/2015 |
Last Update Date | 11/09/2021 |
Medicare PECOS PAC ID | 9830418243 |
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Medicare Enrollment ID | O20150507000198 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376939975 | NPI | - | NPPES |
04600368 | Medicaid | MS | |
02438061 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 687 (Mississippi) | Primary |
Provider Name | Eric D Randle |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336247816 PECOS PAC ID: 1254331960 Enrollment ID: I20070103000236 |
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