Wells Vision LLC

NPI #1164920484 in Brookhaven, Mississippi

Provider Information

NPI Number: 1164920484
Entity Type: Organization
Organization Name: Wells Vision LLC
Primary Specialty: Optometrist
Enumeration Date: Feb 1, 2018
Last Updated: Feb 1, 2018

Practice Location

Address: 960 BROOKWAY BLVD
City: Brookhaven
State: Mississippi
ZIP Code: 39601-2644
Phone: (601) 823-4494

Authorized Official

Name: DR. CHANNING WELLS, OD
Title: OPTOMETRIST
Phone: (601) 946-5492

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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