Organization
GRACIE PLLC
Active
Other names
EYE CARE ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS S POWELL JR. O.D. (PRESIDENT/OPTOMETRIST)
(662) 205-4654
Entity
Organization
Contact information
Practice address
2005 W MAIN ST, TUPELO, MS 38801-3214
(662) 205-4654
Mailing address
2005 W MAIN ST, TUPELO, MS 38801-3214
(662) 205-4654
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
0525
MS
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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