| NPI | 1730194358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE DONNETTE SHIPP Optometrist/Co Owner 662-843-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 720) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2010-11-02 |