Organization
MIDSOUTH VISION SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP ADAM GRAY OD (OWNER/OPTOMETRIST)
(662) 423-7619
Entity
Organization
Contact information
Practice address
8 COUNTY ROAD 197, IUKA, MS 38852-8148
(662) 423-7619
(662) 423-2849
Mailing address
8 COUNTY ROAD 197, IUKA, MS 38852-8148
(662) 423-7619
(662) 423-2849
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
03/06/2023
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