NPI 1275629594

Madison Eye Care Clinic

Organisation Health Maintenance Organization Madison, MS

Practice location

Address: 2168 Main St Suite a, Madison, MS 39110-6319
Phone: (601) 605-9885
Fax: (601) 605-9815

Authorised official

Name: Cassandra Leigh Clements
Title: Optometry
Phone: (601) 605-9885

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 641 (MS)

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Registry record

NPI: 1275629594
Entity type: Organization
NPI issued: 5 Oct 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.