| NPI | 1720126592 |
|---|---|
| Doing Business As | EYEDEAL OPTICAL |
| Entity Type | Organization |
| Authorized Contact | REAGAN LEE FORD Owner 662-332-3325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 651) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |