Madison Professional Eyecare Associates, INC

NPI #1144304460 in Madison, Mississippi

Provider Information

NPI Number: 1144304460
Entity Type: Organization
Organization Name: Madison Professional Eyecare Associates, INC
Primary Specialty: Optometrist
Enumeration Date: Oct 24, 2006
Last Updated: Sep 10, 2014

Practice Location

Address: 224 WATERFORD SQ
City: Madison
State: Mississippi
ZIP Code: 39110-6856
Phone: (601) 605-2259

Authorized Official

Name: DR. BRANDON WALLEY, O.D.
Title: OWNER
Phone: (601) 605-2259

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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