Tallahatchie Eyecare, Pllc

NPI #1164670329 in Charleston, Mississippi

Provider Information

NPI Number: 1164670329
Entity Type: Organization
Organization Name: Tallahatchie Eyecare, Pllc
Primary Specialty: Optometrist
Enumeration Date: Aug 29, 2008
Last Updated: Aug 29, 2008

Practice Location

Address: 203 S MARKET ST
City: Charleston
State: Mississippi
ZIP Code: 38921-2236
Phone: (662) 647-3500

Authorized Official

Name: LANA DEE LEWIS, O.D.
Title: OPTOMETRIST
Phone: (662) 647-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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