2020 Vision Center, PA

NPI #1952310492 in Tupelo, Mississippi

Provider Information

NPI Number: 1952310492
Entity Type: Organization
Organization Name: 2020 Vision Center, PA
Primary Specialty: Optometrist
Enumeration Date: Aug 5, 2006
Last Updated: Oct 31, 2016

Practice Location

Address: 499 GLOSTER CREEK VILLAGE
Address 2: SUITE F3
City: Tupelo
State: Mississippi
ZIP Code: 38801-4631
Phone: (662) 350-3676

Authorized Official

Name: DR. MAURICE ALLAN CLARK, OD
Title: PRESIDENT/OWNER
Phone: (662) 350-3676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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