| NPI | 1881817732 |
|---|---|
| Former Legal Business Name | THE EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | RUTH C ANDERSON Secretary 662-332-0163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 460) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |