Individual
BENJAMIN EDWARD MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3430 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-5732
(228) 875-6658
Mailing address
1422 DILLER RD, OCEAN SPRINGS, MS 39564-3406
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1005
MS
152W00000X
Optometrist
OPT003183
GA
Other
Enumeration date
07/16/2019
Last updated
10/08/2020
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