Organization
BRIAN S CALLAHAN O.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN S CALLAHAN O.D. (DOCTOR)
(601) 932-1890
Entity
Organization
Contact information
Practice address
5520 HIGHWAY 80 E, PEARL, MS 39208-8926
(601) 932-1890
(601) 932-3119
Mailing address
PO BOX 1304, BRANDON, MS 39043-1304
(601) 932-1890
(601) 932-3119
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
590
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03755233
—
MS
Enumeration date
09/19/2008
Last updated
10/09/2008
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