Mr. Charles Edward Anderson Iii is a Jackson, Mississippi based male eyecare provider who is specialized as Ocularist Technician. Active license number of Mr. Charles Edward Anderson Iii is UNLICENSED STATE for Ocularist Technician in Mississippi. Mr. Charles Edward Anderson Iii is carefully trained technician skilled in the arts of fitting, shaping, and painting ocular prostheses (Artificial Eye) for people who have lost an eye or eyes due to trauma or illness. In addition to creating it, the ocularist shows the patient how to handle and care for the prosthesis, and provides long-term care through periodic examinations.
Complete Profile:
Mr. Charles Edward Anderson Iii speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ocularist Technician
Gender:
Male
Practice Address:
4800 I-55 North, Jackson, Mississippi, 39211-5555
Phone:
601-948-0582
Fax:
601-362-1392
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1316004039
NPI Enumeration Date:
02 Jan, 2007
NPI Last Update On:
12 Dec, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Charles Edward Anderson Iii are as mentioned below.
License Number
Specialization
State
Status
UNLICENSED STATE
Ocularist Technician
Mississippi
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Charles Edward Anderson Iii such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00089008
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4800 I-55 North, Jackson, Mississippi
Zip:
39211-5555
Phone Number:
601-948-0582
Fax Number:
601-362-1392
Patients can reach Mr. Charles Edward Anderson Iii at 4800 I-55 North, Jackson, Mississippi or can call to book an appointment on 601-948-0582. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
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