Organization
WILEY VISION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EUGENE WILEY O.D. (MEMBER)
(601) 420-2101
Entity
Organization
Contact information
Practice address
200 MARKET PLACE DR, RICHLAND, MS 39218
(601) 420-2101
Mailing address
PO BOX 180369, RICHLAND, MS 39218-0369
(601) 397-0095
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
721
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00272896
—
MS
Enumeration date
07/27/2007
Last updated
02/20/2024
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