Provider Demographics
NPI:1922992023
Name:A&D OPTICAL
Entity type:Organization
Organization Name:A&D OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:J
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:601-445-5884
Mailing Address - Street 1:10 VISION LN
Mailing Address - Street 2:
Mailing Address - City:NATCHEZ
Mailing Address - State:MS
Mailing Address - Zip Code:39120-4607
Mailing Address - Country:US
Mailing Address - Phone:601-445-5884
Mailing Address - Fax:601-446-7732
Practice Address - Street 1:10 VISION LN
Practice Address - Street 2:
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-4607
Practice Address - Country:US
Practice Address - Phone:601-445-5884
Practice Address - Fax:601-446-7732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier