| NPI | 1174635700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN H. STONE Owner/ Doctor 662-563-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 736) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MS 535) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-05-06 |