Organization
RRTI HOLDING LLC
Active
Other names
EYEDEAL OPTICAL STARKVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REAGAN LEE FORD II OD (OWNER)
(662) 332-3325
Entity
Organization
Contact information
Practice address
1085 STARK RD STE C, STARKVILLE, MS 39759-3682
(662) 320-6636
(662) 320-3838
Mailing address
1085 STARK RD STE C, STARKVILLE, MS 39759-3682
(662) 320-6636
(662) 320-3838
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
651
MS
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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