| NPI | 1346501442 |
|---|---|
| Doing Business As | FORD VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | REAGAN LEE FORD Manager 662-822-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 651) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |