Organization
RRTI 2 LLC
Active
Other names
Eyedeal Optical Tupelo
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
1140 W MAIN ST, TUPELO, MS 38801-3445
(662) 842-3328
(662) 842-3308
Mailing address
2119 HIGHWAY 82 E, GREENVILLE, MS 38703-6010
(662) 332-3325
(662) 378-3325
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
775
MS
Other
Enumeration date
08/28/2007
Last updated
12/17/2007
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