Organization Active NPI

Precision Optical Dispensary, Inc

  • Eyewear Supplier
  • Flowood, MS
National Provider Identifier
1811364698
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
PRECISION OPTICAL DISPENSARY, INC
Practice address
4339 Lakeland Dr
Flowood, MS 39232-8947
Phone
(601) 936-5827
Fax
(601) 936-3822
NPI assigned
Aug 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Glyn Harris
Title
President
Phone
(601) 936-5827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X MS Primary

Addresses

Primary practice location

4339 Lakeland Dr
Flowood, MS 39232-8947

Mailing address

4339 Lakeland Dr
Flowood, MS 39232-8947
Phone (601) 936-5827

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1811364698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4339 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328947",
            "telephone_number": "601-936-5827",
            "fax_number": "601-936-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4339 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328947",
            "telephone_number": "601-936-5827",
            "fax_number": "601-936-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION OPTICAL DISPENSARY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "GLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-936-5827"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.