Organization
20TWENTY VISION LLC
Active
Other names
Tate County Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA MABRY OD (OPTOMETRIST)
(662) 562-5500
Entity
Organization
Contact information
Practice address
106 E MAIN ST, SENATOBIA, MS 38668-2138
(662) 562-5500
Mailing address
106 E MAIN ST, SENATOBIA, MS 38668-2138
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00429216
—
MS
Enumeration date
07/27/2020
Last updated
07/27/2020
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