| NPI | 1922409028 |
|---|---|
| Doing Business As | EYETECH EYECARE CENTER |
| Entity Type | Organization |
| Authorized Contact | WENDY K CLARK Office Administrator 601-693-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 457) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2017-02-20 |