Organization
MISSISSIPPI EYECARE ASSOCIATES OF BYRAM, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER TERRELL BULLIN O.D. (OWNER/ PROVIDER)
(601) 366-9020
Entity
Organization
Contact information
Practice address
7118B S SIWELL RD, BYRAM, MS 39272-8744
(601) 398-3000
(601) 398-3002
Mailing address
404 RIVERWIND DR, STE. B-1, PEARL, MS 39208-5900
(601) 398-3000
(601) 398-3002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
783
MS
332H00000X
Eyewear Supplier
783
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
783
LICENSE
MS
Enumeration date
07/22/2015
Last updated
06/03/2016
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