| NPI | 1639611619 |
|---|---|
| Doing Business As | DR. JULIE C. BROCK |
| Entity Type | Organization |
| Authorized Contact | JULIE C. BROCK Owner/ President 662-316-3761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 661) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |