Organization Name: | MISSISSIPPI EYECARE ASSOCIATES OF BYRAM, PLLC. |
NPI Number: | 1427433200 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER TERRELL BULLIN (OWNER/ PROVIDER) |
Mailing Address: | 7118b S Siwell Rd Byram |
State: | MS US |
Postal Code: | 392728744 |
Phone Number: | 6013983000 |
Fax Number: | 6013983002 |
NPI Enumeration Date: | 07/22/2015 |
NPI Last Update Date: | 06/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 783 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |