MEDICARE: DR. MICHAEL D. WARE & ASSOCIATES, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	MS626	MS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	410000274	OTHER	MS	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831372515
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. MICHAEL D. WARE & ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	402 DOCTORS DR
Second Line	:
City	:	NEW ALBANY
State	:	MS
Zip	:	38652-3109
Country	:	US
Telephone Number	:	662-539-7771
Fax Number	:	662-539-7256

Provider Business Practice Location Address
First Line	:	402 DOCTORS DR
Second Line	:
City	:	NEW ALBANY
State	:	MS
Zip	:	38652-3109
Country	:	US
Telephone Number	:	662-539-7771
Fax Number	:	662-539-7256

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. MICHAEL DAVID WARE
Credential	:	O.D.
Telephone Number	:	662-397-4766

Provider Enumeration Date	:	12/17/2007
Last Update Date	:	07/14/2023

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