| NPI | 1316556210 |
|---|---|
| Doing Business As | TATE COUNTY VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | ALYSSA MABRY Optometrist 662-562-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |