Individual
DR. JILL FRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2152 IOWA BLVD, VICKSBURG, MS 39180-5572
(601) 636-3937
(601) 638-0944
Mailing address
PO BOX 4066, BRANDON, MS 39047-4066
(601) 636-3937
(601) 638-0944
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
603
NM
152W00000X
Optometrist
Primary
804
MS
152W00000X
Optometrist
S-B95-TA-806
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00481340
—
MS
Enumeration date
11/04/2008
Last updated
08/09/2014
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