NPI | 1174862585 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA RENEA O'KELLEY HUGHES Optometrist 228-875-3318 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MS 751) |
Enumeration Date | 2013-02-05 |
Last Update Date | 2013-02-05 |