Provider Demographics
NPI:1457094047
Name:HSVC 2, LLC
Entity Type:Organization
Organization Name:HSVC 2, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NETTIE
Authorized Official - Middle Name:RAINER
Authorized Official - Last Name:HINES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:601-398-4662
Mailing Address - Street 1:120 DISTRICT BLVD STE D109
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39211-6304
Mailing Address - Country:US
Mailing Address - Phone:601-398-4662
Mailing Address - Fax:601-398-4669
Practice Address - Street 1:120 DISTRICT BLVD STE D109
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39211-6304
Practice Address - Country:US
Practice Address - Phone:601-398-4662
Practice Address - Fax:601-398-4669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-20
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty