Organization
IMAGE OPTICAL LLC
Active
Other names
Image Optical, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM C. ASHFORD M.D. (OWNER)
(601) 790-9120
Entity
Organization
Contact information
Practice address
501 BAPTIST DR STE 160, MADISON, MS 39110-2032
(601) 790-9820
(601) 790-9822
Mailing address
501 BAPTIST DR, SUITE 140, MADISON, MS 39110-2026
(601) 985-9120
(601) 985-9122
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
09309
MS
Other
Enumeration date
02/19/2014
Last updated
09/01/2021
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