Organization
HENDERSON VISION CENTER
Active
Other names
HENDERSON VISION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KENYA HENDERSON (OWNER)
(662) 429-7099
Entity
Organization
Contact information
Practice address
2600 MCINGVALE RD, HERNANDO, MS 38632-8658
(662) 429-7099
(662) 469-4091
Mailing address
555 BENDING OAK S, HERNANDO, MS 38632-6558
(901) 864-3119
(662) 469-4091
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
741
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02828236
—
MS
Enumeration date
10/04/2006
Last updated
09/25/2023
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