Healthcare Provider Details

I. General information

NPI: 1770097883
Provider Name (Legal Business Name): KEEPING FOCUS LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2017
Last Update Date: 03/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4223 I-20 FRONTAGE RD APT J18
VICKSBURG MS
39183-3533
US

IV. Provider business mailing address

PO BOX 822622
VICKSBURG MS
39182-2622
US

V. Phone/Fax

Practice location:
  • Phone: 601-272-5905
  • Fax: 800-948-4615
Mailing address:
  • Phone: 601-272-5905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: KEMILY ALEXANDER RANKIN
Title or Position: OPTOMETRIST
Credential:
Phone: 601-272-5902