Organization
EYE CARE OF LELAND PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM W STANFILL O.D. (PRESIDENT)
(662) 686-7871
Entity
Organization
Contact information
Practice address
206 BAKER BLVD, LELAND, MS 38756-3402
(662) 686-2020
Mailing address
PO BOX 106, LELAND, MS 38756-0106
(662) 686-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
408
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016267
—
MS
Enumeration date
12/01/2006
Last updated
08/22/2020
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