Optometric Clinic, Pa Valid NPI
Organization · Optometrist · Hattiesburg, MS
- NPI
- 1972675577
- Type
- Organization (Type 2)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 508 (MS)
- Enumerated
- 2006-11-15
- Last updated
- 2010-12-13
Practice location
600 W Pine St
Hattiesburg, MS 39401-3834
(601) 545-2020