Organization
OPTICAL 2000 OF RICHLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBBY C PANKEY OD (OWNER/OPTOMETRIST)
(601) 932-3727
Entity
Organization
Contact information
Practice address
655 HIGHWAY 49 S, SUITE M, RICHLAND, MS 39218-8419
(601) 932-3727
Mailing address
655 HIGHWAY 49 S, SUITE M, RICHLAND, MS 39218-8419
(601) 932-3727
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
00748
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014038
—
MS
Enumeration date
04/23/2008
Last updated
08/13/2010
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