Organization
MISSISSIPPI EYE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER COOK OD (CEO)
(404) 481-7931
Entity
Organization
Contact information
Practice address
1309 HIGHWAY 35 S, FOREST, MS 39074-5010
(404) 481-7931
Mailing address
202 MEMORY LN, MADISON, MS 39110-6890
(404) 481-7931
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MS828
MS
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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