Professional Optical of Mississippi INC
NPI #1417145624 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1417145624
- Entity Type
- Organization
- Organization Name
- Professional Optical of Mississippi INC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 12, 2007
- Last Updated
- Jan 11, 2008
Practice Location
- Address
- 1208 MISSION 66
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39183-3137
- Phone
- (601) 636-5541
Authorized Official
- Name
- MR. HARRIS C ANTHONY, OPTICIAN
- Title
- OWNER
- Phone
- (601) 636-5541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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