NPI | 1538341839 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN BENTON LYON Physician/Owner 601-649-2450 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2007-11-29 |
Last Update Date | 2024-04-03 |