| NPI | 1275707226 |
|---|---|
| Doing Business As | EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | RUTH ANDERSON Practice Manager 662-332-0163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2008-06-23 |