Brookhaven Optical INC

NPI #1821080250 in Brookhaven, Mississippi

Provider Information

NPI Number: 1821080250
Entity Type: Organization
Organization Name: Brookhaven Optical INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Aug 22, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 347 W CHEROKEE ST
City: Brookhaven
State: Mississippi
ZIP Code: 39601-3219
Phone: (601) 833-1958

Authorized Official

Name: DR. NATLIE BROWN HERNDON, M.S., PH.D.
Title: PRESIDENT
Phone: (601) 833-1958

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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