| NPI | 1194731570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIPER NELSON Physician Owner 601-268-5144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2022-11-02 |