| Shaffer Eye Clinic | |
|
5203 Highway 11 N Ellisville MS 39437-5001 | |
| (601) 428-4420 | |
| (601) 425-9018 |
| Full Name | Shaffer Eye Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 5203 Highway 11 N, Ellisville, Mississippi |
| Authorized Official Name and Position | Curtis J Shaffer (OWNER) |
| Authorized Official Contact | 6014284420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaffer Eye Clinic 5203 Highway 11 N Ellisville MS 39437-5001 Ph: (601) 428-4420 | Shaffer Eye Clinic 5203 Highway 11 N Ellisville MS 39437-5001 Ph: (601) 428-4420 |
| NPI Number | 1851564017 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 04/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851564017 | NPI | - | NPPES |
| 09016268 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 695 (Mississippi) | Primary |
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