| NPI | 1578730800 |
|---|---|
| Doing Business As | DELTA EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | WILBURN LORD President 662-332-0163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 460) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |