Organization
LELAND EYE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD HALL O.D. (OWNER/PRESIDENT)
(662) 686-2020
Entity
Organization
Contact information
Practice address
206 BAKER BLVD, LELAND, MS 38756-3402
(662) 686-2020
(662) 686-2020
Mailing address
206 BAKER BLVD, LELAND, MS 38756-3402
(662) 686-2020
(662) 686-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
570
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880003
—
MS
Enumeration date
09/06/2013
Last updated
09/06/2013
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