Organization
EYECARE EXPRESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINH TAN DUONG O.D. (OWNER)
(601) 553-0527
Entity
Organization
Contact information
Practice address
1733 2ND ST S, MERIDIAN, MS 39301-4514
(601) 553-0527
(601) 553-1355
Mailing address
1733 2ND ST S, MERIDIAN, MS 39301-4514
(601) 553-0527
(601) 553-1355
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
704
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06506733
—
MS
Enumeration date
06/20/2007
Last updated
02/05/2008
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