Tara Leanne Dew, O.D. Valid NPI

Individual provider · Optometrist · Kosciusko, MS

NPI

1265622971

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

776 (MS)

Sex

Female

Sole proprietor

No

Enumerated

2007-07-29

Last updated

2008-01-22