| NPI | 1114240421 |
|---|---|
| Doing Business As | CHOCTAW HEALTH CENTER OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | PHYLLIS J ANDERSON Tribal Chief 601-389-6342 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2012-06-15 |