Organization
TALLAHATCHIE EYECARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANA DEE LEWIS O.D. (OPTOMETRIST)
(662) 647-3500
Entity
Organization
Contact information
Practice address
203 S MARKET ST, CHARLESTON, MS 38921-2236
(662) 647-3500
Mailing address
PO BOX 200, CHARLESTON, MS 38921-0200
(662) 647-3500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
793
MS
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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