| NPI | 1114448800 |
|---|---|
| Doing Business As | BELLE VUE SPECIALTY EYE CARE |
| Entity Type | Organization |
| Authorized Contact | MEGAN LOTT Manager 601-475-2020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 760) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: MS 760) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2022-07-21 |