| NPI | 1487779971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP LEE KING President 228-327-2831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 0683) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MS 691) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |