Organization
MS EYE CARE PA
Active
Parent organization
MS EYE CARE PLA
Other names
MERIDIAN EYE CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MS EYE CARE PLA
Authorized official
TAMMY WOMBLE (CREDENTIALING)
(662) 446-9000
Entity
Organization
Contact information
Practice address
5002 HIGHWAY 39 N, BUILDING B, MERIDIAN, MS 39301-1078
(601) 483-7331
Mailing address
PO BOX 628, PHILADELPHIA, MS 39350-0628
(662) 446-9000
(662) 779-4030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05208871
—
MS
Enumeration date
03/08/2016
Last updated
05/24/2022
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