Midsouth Vision Center

NPI #1043563935 in Memphis, Tennessee

Provider Information

NPI Number: 1043563935
Entity Type: Organization
Organization Name: Midsouth Vision Center
Primary Specialty: Optometrist
Enumeration Date: Oct 17, 2012
Last Updated: Oct 17, 2012

Practice Location

Address: 3314 POPLAR AVE STE#1
City: Memphis
State: Tennessee
ZIP Code: 38111
Phone: (901) 324-3189

Authorized Official

Name: MELISSA ANN BLAICHER, OPTICIAN
Title: MANAGER/OPTICIAN
Phone: (901) 373-4207

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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