Organization
HORN LAKE EYECARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L PARKER O.D. (OPTOMETRIST)
(662) 893-3300
Entity
Organization
Contact information
Practice address
2085 GOODMAN RD, HORN LAKE, MS 38637
(662) 893-3300
(662) 893-3301
Mailing address
6947 CRUMPLER BLVD, SUITE 100, OLIVE BRANCH, MS 38654-1922
(662) 893-3300
(662) 893-3301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
606
MS
152W00000X
Optometrist
647
MS
152W00000X
Optometrist
681
MS
152W00000X
Optometrist
857
MS
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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