1093020893 NPI number — JOSHUA E. BOSTICK, O.D., P.A.

Table of content: (NPI 1093020893)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093020893 NPI number — JOSHUA E. BOSTICK, O.D., P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOSHUA E. BOSTICK, O.D., P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093020893
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/09/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
122 WILLOWBROOK DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALTILLO
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
38866-6895
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
662-869-1779
Provider Business Mailing Address Fax Number:
662-869-3776

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
122 WILLOWBROOK DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALTILLO
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
38866-6895
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-869-1779
Provider Business Practice Location Address Fax Number:
662-869-3776
Provider Enumeration Date:
08/17/2010

Additional Information

Authorized Official

Authorized Official Last Name:
BOSTICK
Authorized Official First Name:
JOSHUA
Authorized Official Middle Name:
EDWIN
Authorized Official Title or Position:
OPTOMETRIST
Authorized Official Telephone Number:
662-869-1779

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  821 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 07622573 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".




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