Organization
BARNES CROSSING VISION CENTER P. A.
Active
Other names
Tupelo Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE L MCCULLOUGH M.S. (OFFICE MANAGER)
(662) 243-2600
Entity
Organization
Contact information
Practice address
3929 N GLOSTER ST, TUPELO, MS 38804-0915
(662) 840-4624
Mailing address
1028 FAWN DR, TUPELO, MS 38804-1924
(662) 840-4624
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
487
MS
152WC0802X
Corneal and Contact Management Optometrist
TPA 94061
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03888791
—
MS
Enumeration date
03/16/2006
Last updated
11/13/2007
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