Canton Vision Clinic, P.a.

NPI #1174607477 in Canton, Mississippi

Provider Information

NPI Number: 1174607477
Entity Type: Organization
Organization Name: Canton Vision Clinic, P.a.
Primary Specialty: Optometrist
Enumeration Date: Oct 24, 2006
Last Updated: Sep 16, 2014

Practice Location

Address: 1185 HART ST
City: Canton
State: Mississippi
ZIP Code: 39046-4805
Phone: (601) 859-3464

Authorized Official

Name: DR. JAMES W BEARDEN III, OD
Title: OWNER
Phone: (601) 859-3464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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