# MADISON EYE CARE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275629594
- **Authorized official:** DR. CASSANDRA LEIGH CLEMENTS O.D. (OPTOMETRY)
- **Authorized official phone:** (601) 605-9885

## Contact information

- **Practice address:** 2168 MAIN ST, SUITE A, MADISON, MS 39110-6319
- **Practice address phone:** (601) 605-9885
- **Practice address fax:** (601) 605-9815
- **Mailing address:** 2168 MAIN ST, SUITE A, MADISON, MS 39110-6319
- **Mailing address phone:** (601) 605-9885
- **Mailing address fax:** (601) 605-9815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 641 | MS | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 08/22/2020