Organization
BATESVILLE VISION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN H. STONE O.D. (OWNER/ DOCTOR)
(662) 563-9880
Entity
Organization
Contact information
Practice address
365 HIGHWAY 51 N, BATESVILLE, MS 38606-2311
(662) 563-9880
(662) 563-9882
Mailing address
365 HIGHWAY 51 N, BATESVILLE, MS 38606-2311
(662) 563-9880
(662) 563-9882
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
535
MS
152W00000X
Optometrist
Primary
736
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02152701
—
MS
Enumeration date
08/31/2006
Last updated
05/06/2008
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