Organization
M H ALLEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK H ALLEN OD (OWNER/OPTOMETRIST)
(601) 939-6366
Entity
Organization
Contact information
Practice address
4810 LAKELAND DR, FLOWOOD, MS 39232-8694
(601) 939-6366
(601) 939-3482
Mailing address
PO BOX 321443, FLOWOOD, MS 39232-1443
(601) 939-6366
(601) 939-3482
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
621
MS
332H00000X
Eyewear Supplier
621
MS
Other
Enumeration date
02/18/2009
Last updated
07/03/2014
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