Columbus Optical Dispensary
NPI #1578584686 in Columbus, Mississippi
Provider Information
- NPI Number
- 1578584686
- Entity Type
- Organization
- Organization Name
- Columbus Optical Dispensary
- Primary Specialty
- Technician/Technologist - Ophthalmic
- Enumeration Date
- Jul 22, 2006
- Last Updated
- Jun 21, 2018
Practice Location
- Address
- 1928 5TH ST N
- City
- Columbus
- State
- Mississippi
- ZIP Code
- 39705
- Phone
- (662) 328-5781
Authorized Official
- Name
- MICHAEL JAROD LEE
- Title
- OWNER
- Phone
- (662) 328-5781
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Technician/Technologist - Ophthalmic — Ophthalmic |
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