Hattiesburg Eye Clinic PA
Organization Active NPI Optometrist · Petal, MS
NPI 1962679043 · NPPES record last updated May 8, 2008
Key facts
- NPI
- 1962679043
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- HATTIESBURG EYE CLINIC PA
- Practice address
- 1223 Hwy 42
Ste 140
Petal, MS 39465 - Phone
- (601) 445-0226
- Fax
- (601) 450-2264
- NPI assigned
- May 8, 2008
- Organization subpart
- No
Authorized official
- Name
- Stoney Williamson, MD
- Title
- President
- Phone
- (601) 268-5910
Corporate family (same tax ID) 4
Practitioners 2
-
Joshua Patrick, O.D.
National Provider Directory
- Tax ID family
- Hattiesburg Eye Clinic PA
Locations
1223 Highway 42
Ste 140
Petal, MS 39465
Phone (601) 445-0226
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
1223 Hwy 42
Ste 140
Petal, MS 39465
Mailing address
100 Hospital Dr W
Hattiesburg, MS 39402-1334
Phone (601) 268-5910
Other providers in Petal, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.