Organization
OPTICAL 2000 OF FLORA PA
Active
Parent organization
OPTICAL 2000 PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPTICAL 2000 PA
Authorized official
BOBBY PANKEY OD (OPTOMETRIST)
(601) 879-5550
Entity
Organization
Contact information
Practice address
4843 MAIN ST., FLORA, MS 39071
(601) 879-5550
Mailing address
115 CYNTHIA ST, CLINTON, MS 39056-3711
(601) 924-4444
(601) 924-4100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
00748
MS
Other
Enumeration date
12/06/2016
Last updated
03/08/2017
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