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 |