# IMAGE OPTICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Image Optical, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073938635
- **Authorized official:** DR. WILLIAM C. ASHFORD M.D. (OWNER)
- **Authorized official phone:** (601) 790-9120

## Contact information

- **Practice address:** 501 BAPTIST DR STE 160, MADISON, MS 39110-2032
- **Practice address phone:** (601) 790-9820
- **Practice address fax:** (601) 790-9822
- **Mailing address:** 501 BAPTIST DR, SUITE 140, MADISON, MS 39110-2026
- **Mailing address phone:** (601) 985-9120
- **Mailing address fax:** (601) 985-9122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 09309 | MS | Yes |

## Other

- **Enumeration date:** 02/19/2014
- **Last updated:** 09/01/2021