Barry W. Tewis, O. D. Valid NPI

Individual provider · Optometrist · Hattiesburg, MS

NPI

1861540163

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

484 (MS)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-01-05

Last updated

2007-07-08