| NPI | 1437720315 |
|---|---|
| Doing Business As | SOUTHAVEN PRIMARY EYE CARE |
| Entity Type | Organization |
| Authorized Contact | PARTH AMIN Owner 662-519-4763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2024-08-05 |