| NPI | 1578815742 |
|---|---|
| Doing Business As | NILSSON EYE CARE |
| Entity Type | Organization |
| Authorized Contact | KELLY HONSINGER NILSSON President 601-347-1725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL 4662) |
| 152W00000X Optometrist (Licence: GA OPT002997) | |
| 152W00000X Optometrist (Licence: MS 842) | |
| 152W00000X Optometrist | |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2021-08-26 |