Organization
NUVISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNTA NICOLE TODD (OWNER)
(601) 952-0070
Entity
Organization
Contact information
Practice address
134 DYESS RD, RIDGELAND, MS 39157-4410
(601) 952-0070
(601) 952-0076
Mailing address
134 DYESS RD, RIDGELAND, MS 39157-4410
(601) 952-0070
(601) 952-0076
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04923053
—
MS
Enumeration date
03/21/2008
Last updated
01/08/2014
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