Organization
SHIPP FAMILY EYECARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASMINE DONNETTE SHIPP O.D. (OPTOMETRIST/CO-OWNER)
(662) 843-8989
Entity
Organization
Contact information
Practice address
710 N DAVIS AVE, CLEVELAND, MS 38732-2102
(662) 843-8989
(662) 843-8991
Mailing address
710 N DAVIS AVE, CLEVELAND, MS 38732-2102
(662) 843-8989
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
720
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09482879
—
MS
Enumeration date
07/30/2006
Last updated
11/02/2010
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