Organization
ODOMS EYE CARE, PLLC
Active
Other names
Odoms Eye Care/Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELLIA S MCKINNEY OD (OWNER)
(601) 977-0835
Entity
Organization
Contact information
Practice address
1461 CANTON MART RD STE A, JACKSON, MS 39211-5413
(601) 977-0835
(601) 977-0689
Mailing address
1461 CANTON MART RD STE A, JACKSON, MS 39211-5413
(601) 977-0835
(601) 977-0689
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
677
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02735526
—
MS
Enumeration date
03/30/2011
Last updated
11/23/2022
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