Organization
MISSISSIPPI EYE CARE OF HAZLEHURST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER BULLIN O.D. (OWNER)
(601) 212-7411
Entity
Organization
Contact information
Practice address
28063 HIGHWAY 28, HAZLEHURST, MS 39083-2240
(601) 212-7411
Mailing address
350 W WOODROW WILSON AVE, SUITE 3110, JACKSON, MS 39213-7681
(601) 212-7411
(601) 321-3979
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
783
MS
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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