Mendenhall Optometric Eye Clinic, P.a.

NPI #1184742843 in Mendenhall, Mississippi

Provider Information

NPI Number: 1184742843
Entity Type: Organization
Organization Name: Mendenhall Optometric Eye Clinic, P.a.
Primary Specialty: Optometrist
Enumeration Date: Mar 27, 2007
Last Updated: Apr 20, 2008

Practice Location

Address: 1021 EAST ST
City: Mendenhall
State: Mississippi
ZIP Code: 39114-3107
Phone: (601) 847-1232

Authorized Official

Name: PAUL WILLARD CLARK, O.D.
Title: PRESIDENT
Phone: (601) 847-1232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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