Organization
CANTON VISION CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES W BEARDEN III OD (OWNER)
(601) 859-3464
Entity
Organization
Contact information
Practice address
1185 HART ST, CANTON, MS 39046-4805
(601) 859-3464
(601) 859-9003
Mailing address
1185 HART ST, CANTON, MS 39046-4805
(601) 859-3464
(601) 859-9003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03380062
—
MS
Enumeration date
10/24/2006
Last updated
09/16/2014
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