PRECISION OPTICAL DISPENSARY, INC. (NPI# 1104948793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104948793 |
| Entity Type | Organization |
| Organization Name | PRECISION OPTICAL DISPENSARY, INC. |
| Practice Address |
1490 West Government Street Suite 8 Precision Optical Dispensary, Inc. Brandon MS 39042 |
| Practice Telephone | 6018251992 |
| Practice Fax Number | 6018251091 |
| Mailing Telephone | 6018251992 |
| Mailing Fax Number | 6018251091 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2009-10-15 |
| Authorized Official Name | MR. GLYN WAYNE HARRIS (PRESIDENT) |
| Authorized Official Telephone | 6018251992 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
10192 | MS | Eye and Vision Services Providers |
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00880113 | 05 |
| Street Address |
1490 WEST GOVERNMENT STREET SUITE 8 PRECISION OPTICAL DISPENSARY, INC. |
| City | BRANDON |
| State | MS |
| Zip Code | 39042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316931066 | Richard W. Pharr M.d.pa | Ophthalmology | 1490 West Government Street Suite 8, Richard W Pharr M.d. Pa, Brandon, MS 39042 | 2005-09-08 |
| 1174652945 | Richard Warren Pharr | Ophthalmology | 1490 West Government Street Suite 8, Richard W Pharr M.d. Pa, Brandon, MS 39042 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
| 1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
| 1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
| 1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
| 1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
| Find all providers in zip 39042 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659612836 | Harold Bernard Brewer Jr. | Technician/Technologist | 1171 Johns Mayton Rd, Brandon, MS 39042-8364 | 2013-03-12 |
| 1093849259 | Shawn Carson | Technician/Technologist | 201 S Kings Ave Ste 4, Brandon, FL 33511-5722 | 2007-03-16 |
| 1205919701 | Wal-mart Stores East, Lp | Technician/Technologist | 5341 Highway 25, Brandon, MS 39047-7673 | 2006-10-20 |
| 1881113900 | Nationwide Vision Center, Inc. | Technician/Technologist | 331 Brandon Town Center Mall, Inside Jcpenney, Brandon, FL 33511-4723 | 2017-09-11 |
| 1932568136 | Family Vision Enterprises Inc | Technician/Technologist | 1929a W Brandon Blvd, Brandon, FL 33511-4813 | 2016-02-16 |
| 1114304326 | National Vision, Inc. | Technician/Technologist | 11391 Causeway Blvd, Brandon, FL 33511-2904 | 2015-04-27 |
| 1174724496 | Frank D Plumb | Technician/Technologist | 1933 W Brandon Blvd, Brandon, FL 33511-4813 | 2007-05-31 |
| 1538360201 | Family Vision Inc | Technician/Technologist | 1933 W Brandon Blvd, Brandon, FL 33511-4813 | 2007-05-30 |
| 1174617377 | Wal-mart Stores East, Lp | Technician/Technologist | 1208 E Brandon Blvd, Brandon, FL 33511-5529 | 2006-10-03 |
| 1598857021 | Wal-mart Stores East, Lp | Technician/Technologist | 11110 Causeway Blvd, Brandon, FL 33511-2900 | 2006-09-29 |
| Find all providers in BRANDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.