Cochran Optical Dispensary

NPI #1619146883 in Kosciusko, Mississippi

Provider Information

NPI Number: 1619146883
Entity Type: Organization
Organization Name: Cochran Optical Dispensary
Primary Specialty: Eyewear Supplier
Enumeration Date: Feb 21, 2008
Last Updated: Jun 11, 2008

Practice Location

Address: 118 W NORTH ST
City: Kosciusko
State: Mississippi
ZIP Code: 39090-3211
Phone: (662) 289-9581

Authorized Official

Name: GARY A COCHRAN
Title: OWNER
Phone: (662) 289-9581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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