| NPI | 1396793188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES STEPHEN MOORE Owner/Optometrist 601-894-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MS 566) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-08-22 |