NPI | 1073938635 |
---|---|
Doing Business As | IMAGE OPTICAL, LLC |
Entity Type | Organization |
Authorized Contact | WILLIAM C. ASHFORD Owner 601-790-9120 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MS 09309) |
Enumeration Date | 2014-02-19 |
Last Update Date | 2021-09-01 |