Organization
EYE CLINIC OF WEST POINT, INC
Active
Other names
Eye Clinic of West Point, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACIE L MOORE OD (OPTOMETRIST)
(662) 494-2020
Entity
Organization
Contact information
Practice address
233 WEST MAIN ST., WEST POINT, MS 39773
(662) 494-2020
(662) 492-0045
Mailing address
233 WEST MAIN ST., PO BOX 1137, WEST POINT, MS 39773
(662) 494-2020
(662) 492-0045
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
657
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880170
—
MS
Enumeration date
03/15/2007
Last updated
04/04/2011
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