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Organization

GREENWOOD EYE CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACOB DANIEL LONG O.D. (OWNER/OPTOMETRIST)
(662) 609-6402
Entity
Organization

Contact information

Practice address
2202 HWY 82 W, GREENWOOD, MS 38930-2706
(662) 609-6402
Mailing address
110 ACORN LN, BATESVILLE, MS 38606-2359
(662) 609-6402

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
887
MS

Other

Enumeration date
08/02/2013
Last updated
08/02/2013
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