| NPI | 1881745941 |
|---|---|
| Doing Business As | EYEDEAL OPTICAL |
| Entity Type | Organization |
| Authorized Contact | REAGAN LEE FORD President 662-332-3325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 651) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-12-17 |