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Organization
IMAGE OPTICAL LLC
Active
Organization
IMAGE OPTICAL LLC
Active
Other names
Image Optical, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM C. ASHFORD M.D. (OWNER)
(601) 790-9120
Entity
Organization
Contact information
Practice address
501 BAPTIST DR STE 160, MADISON, MS 39110-2032
(601) 790-9820
(601) 790-9822
Mailing address
501 BAPTIST DR, SUITE 140, MADISON, MS 39110-2026
(601) 985-9120
(601) 985-9122
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
09309
MS
Other
Enumeration date
02/19/2014
Last updated
09/01/2021
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