Organization
PRECISION OPTICAL DISPENSARY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLYN WAYNE HARRIS (PRESIDENT)
(601) 825-1992
Entity
Organization
Contact information
Practice address
1490 WEST GOVERNMENT STREET SUITE 8, PRECISION OPTICAL DISPENSARY, INC., BRANDON, MS 39042
(601) 825-1992
(601) 825-1091
Mailing address
1490 WEST GOVERNMENT STREET SUITE 8, PRECISION OPTICAL DISPENSARY, INC., BRANDON, MS 39042
(601) 825-1992
(601) 825-1091
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
10192
MS
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880113
—
MS
Enumeration date
04/04/2007
Last updated
10/15/2009
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