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 |