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Organization

EYEOLOGY EYECARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEANDRE MONIQUE CARR O.D. (OWNER)
(601) 346-7549
Entity
Organization

Contact information

Practice address
131 HANDLEY BLVD, BYRAM, MS 39272-8983
(601) 346-7549
Mailing address
131 HANDLEY BLVD, BYRAM, MS 39272-8983
(601) 346-7549

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
841
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1568742146
NPI
MS
Enumeration date
03/22/2016
Last updated
03/22/2016
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