Individual
DR. CRAIG WEBSTER CLEVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
202 N 2ND ST, BOONEVILLE, MS 38829-2702
(662) 728-6191
(662) 728-9430
Mailing address
202 N 2ND ST, BOONEVILLE, MS 38829-2702
(662) 728-6191
(662) 728-9430
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
532
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880096
—
MS
05
—
06985007
—
MS
Enumeration date
08/19/2006
Last updated
10/20/2011
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