The Vision Center PA

NPI #1790962637 in Wiggins, Mississippi

Provider Information

NPI Number: 1790962637
Entity Type: Organization
Organization Name: The Vision Center PA
Primary Specialty: Optometrist
Enumeration Date: Jan 23, 2008
Last Updated: Apr 4, 2013

Practice Location

Address: 1113 CENTRAL AVE E
City: Wiggins
State: Mississippi
ZIP Code: 39577
Phone: (601) 928-3914

Authorized Official

Name: MR. GREGORY DEAN LOOSE, OD
Title: PRESIDENT
Phone: (601) 928-3914

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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DR. Gregory D Loose, OD	Optometrist	Wiggins	AI Deep Dive
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