Stanford Vision Clinic LLC

NPI #1679044044 in Ripley, Mississippi

Provider Information

NPI Number: 1679044044
Entity Type: Organization
Organization Name: Stanford Vision Clinic LLC
Primary Specialty: Clinic/Center
Enumeration Date: Dec 11, 2018
Last Updated: Dec 11, 2018

Practice Location

Address: 306 N COMMERCE ST
City: Ripley
State: Mississippi
ZIP Code: 38663-1721
Phone: (662) 837-7822

Authorized Official

Name: DR. MEGAN ROEBUCK STANFORD, OD
Title: OPTOMETRIST/OWNER
Phone: (901) 647-0988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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