Organization
GRANT EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED ACKER GRANT O.D. (OWNER)
(662) 612-6016
Entity
Organization
Contact information
Practice address
5219 HIGHWAY 51 N, SENATOBIA, MS 38668-1719
(662) 612-6016
(662) 612-6031
Mailing address
5219 HIGHWAY 51 N, SENATOBIA, MS 38668-1719
(662) 612-6016
(662) 612-6031
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
923
MS
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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