Organization
CRAIG W. CLEVELAND, O.D., P.A.
Active
Other names
Family Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG W CLEVELAND O.D. (PRESIDENT)
(662) 728-6191
Entity
Organization
Contact information
Practice address
202 N 2ND ST, BOONEVILLE, MS 38829-2702
(662) 728-6191
(662) 728-9430
Mailing address
202 N 2ND ST, BOONEVILLE, MS 38829-2702
(662) 728-6191
(662) 728-9430
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
532
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880096
—
MS
05
—
06985007
—
MS
Enumeration date
03/07/2007
Last updated
12/27/2012
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