Rose Eye Clinic
NPI #1992966204 in Indianola, Mississippi
Provider Information
- NPI Number
- 1992966204
- Entity Type
- Organization
- Organization Name
- Rose Eye Clinic
- Primary Specialty
- Optometrist
- Enumeration Date
- Jun 19, 2008
- Last Updated
- Aug 10, 2011
Practice Location
- Address
- 401 CATCHINGS AVE
- City
- Indianola
- State
- Mississippi
- ZIP Code
- 38751-2468
- Phone
- (662) 887-5668
Authorized Official
- Name
- DR. WALTER SAMUEL ROSE, OD
- Title
- OWNER
- Phone
- (662) 887-5668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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