NPI | 1255481958 |
---|---|
Doing Business As | EYEDEAL OPTICAL |
Entity Type | Organization |
Authorized Contact | REAGAN LEE FORD President 662-332-3325 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MS 651) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2020-08-22 |