Organization
DAN WINDHAM OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL WINDHAM (OWNER)
(601) 939-1981
Entity
Organization
Contact information
Practice address
2630 HWY 80 EAST, PEARL, MS 39208
(601) 939-1981
(601) 939-1981
Mailing address
2630 HWY 80 EAST, PEARL, MS 39208
(601) 939-1981
(601) 939-3357
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
061087102
MS
Other
Enumeration date
03/28/2007
Last updated
01/08/2016
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