Organization
TODD HALL OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD HALL O.D. (PRESIDENT)
(662) 453-5400
Entity
Organization
Contact information
Practice address
814 W PARK AVE, GREENWOOD, MS 38930-2825
(662) 453-5400
(662) 453-5726
Mailing address
814 W PARK AVE, GREENWOOD, MS 38930-2825
(662) 453-5400
(662) 453-5726
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
570
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880003
—
MS
01
—
410023650
PALMETTO GBA RAILROAD MEDICARE
MS
Enumeration date
04/24/2012
Last updated
04/24/2012
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