NPI | 1659546802 |
---|---|
Doing Business As | POPLARVILLE EYE CLINIC |
Entity Type | Organization |
Authorized Contact | LORI L BLACKMER Owner 601-798-4182 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MS 559) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MS 584) |
Enumeration Date | 2008-04-29 |
Last Update Date | 2008-07-16 |