Organization
CAPITALEYES, INC
Active
Other names
Southern Eyecare of Clinton
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP W MARLER OD (VICE-PRESIDENT)
(601) 267-9351
Entity
Organization
Contact information
Practice address
929 HIGHWAY 80 E, CLINTON, MS 39056-5246
(601) 267-9351
Mailing address
929 HIGHWAY 80 E, CLINTON, MS 39056-5246
(601) 267-9351
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
605
MS
Other
Enumeration date
08/01/2011
Last updated
05/24/2012
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