Organization
CLARKSDALE VISION CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES FLOWERS HUMBER IV O.D. (OWNER)
(662) 627-2020
Entity
Organization
Contact information
Practice address
636 FRIARS POINT RD, CLARKSDALE, MS 38614-9111
(662) 627-2020
(662) 627-7063
Mailing address
636 FRIARS POINT RD, CLARKSDALE, MS 38614-9111
(662) 627-2020
(662) 627-7063
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
633
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880128
—
MS
Enumeration date
05/08/2007
Last updated
10/04/2021
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