Rrti 2 LLC

NPI #1518151059 in Tupelo, Mississippi

Provider Information

NPI Number: 1518151059
Entity Type: Organization
Organization Name: Rrti 2 LLC
Primary Specialty: Optometrist
Enumeration Date: Aug 28, 2007
Last Updated: Dec 17, 2007

Practice Location

Address: 1140 W MAIN ST
City: Tupelo
State: Mississippi
ZIP Code: 38801-3445
Phone: (662) 842-3328

Authorized Official

Name: DR. REAGAN LEE FORD II, OD
Title: OWNER
Phone: (662) 332-3325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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