Organization
EYE CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE HELEN VALENTINE O.D (PRESIDENT)
(601) 947-3553
Entity
Organization
Contact information
Practice address
852 WINTER ST, LUCEDALE, MS 39452-5726
(601) 947-3553
(601) 947-3933
Mailing address
852 WINTER ST, LUCEDALE, MS 39452-5726
(601) 947-3553
(601) 947-3933
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
639
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015561
—
MS
01
—
410045258
RAILROAD MEDICARE
MS
Enumeration date
04/17/2007
Last updated
10/01/2012
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