Organization
IRVING EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUATRISA IRVING O.D. (OWNER / PHYSICIAN)
(601) 957-6078
Entity
Organization
Contact information
Practice address
1200 E COUNTY LINE RD, STE 166, RIDGELAND, MS 39157-1949
(601) 957-6078
(601) 957-6924
Mailing address
1200 E COUNTY LINE RD, STE 166, RIDGELAND, MS 39157-1949
(601) 957-6078
(601) 957-6924
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
836
MS
Other
Enumeration date
09/30/2014
Last updated
05/22/2015
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