| NPI | 1871602862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SAMUEL ASHLEY Owner/President 601-636-6364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 487) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MS 487) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-07-12 |