Organization
CHEATHAM EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W CHEATHAM O.D. (OPTOMETRIST)
(662) 494-5984
Entity
Organization
Contact information
Practice address
227 COMMERCE ST, WEST POINT, MS 39773-2921
(662) 494-5984
(662) 494-3805
Mailing address
227 COMMERCE ST, WEST POINT, MS 39773-2921
(662) 494-5984
(662) 494-3805
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
MS656
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016249
—
MS
01
—
426556546A
BLUE CROSS
MS
Enumeration date
06/01/2007
Last updated
11/27/2012
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