Columbus Eye Clinic & Laser Surgery Center

NPI #1831316603 in Columbus, Mississippi

Provider Information

NPI Number: 1831316603
Entity Type: Organization
Organization Name: Columbus Eye Clinic & Laser Surgery Center
Primary Specialty: Specialist
Enumeration Date: Apr 20, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 425 HOSPITAL DR
Address 2: SUIT 8
City: Columbus
State: Mississippi
ZIP Code: 39705-1901
Phone: (662) 328-2061

Authorized Official

Name: DR. SCOTT T BRADLEY, M.D.
Title: VICE PRESIDENT
Phone: (662) 328-2061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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