Individual
DR. STEVE BEATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
837 KINGS CROSSING DR STE 10, TUPELO, MS 38804-0952
(662) 269-4175
(662) 269-4176
Mailing address
1020 N GLOSTER ST STE 261, TUPELO, MS 38804-1202
(662) 269-4175
(662) 269-4176
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
669
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880181
—
MS
Enumeration date
10/24/2006
Last updated
07/11/2022
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