# PELTAN EYE CENTERS OF MISSISSIPPI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peltan Eye & Laser
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639591613
- **Authorized official:** DR. HAROLD LEE PELTAN M.D. (ORGANIZER)
- **Authorized official phone:** (330) 461-6077

## Contact information

- **Practice address:** 425B N DAVIS AVE, CLEVELAND, MS 38732-2351
- **Practice address phone:** (662) 545-4600
- **Mailing address:** PO BOX 1269, CLEVELAND, MS 38732-1269
- **Mailing address phone:** (662) 545-4600

## Taxonomy

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

## Other

- **Enumeration date:** 01/10/2014
- **Last updated:** 11/03/2019