Provider Demographics
NPI:1285820894
Name:L P BRITT PA
Entity Type:Organization
Organization Name:L P BRITT PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:L
Authorized Official - Middle Name:P
Authorized Official - Last Name:BRITT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:662-844-3436
Mailing Address - Street 1:2270 W MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38801-3144
Mailing Address - Country:US
Mailing Address - Phone:662-844-3436
Mailing Address - Fax:
Practice Address - Street 1:2270 W MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801-3144
Practice Address - Country:US
Practice Address - Phone:662-844-3436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS510152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS08651OtherSPECTERA
MSP00027863OtherRAILROAD MEDICARE
MS09016224Medicaid
MS47792OtherDAVIS