Organization
THE VISION CENTER PA
Active
Other names
Gregory D Loose OD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY DEAN LOOSE OD (PRESIDENT)
(601) 928-3914
Entity
Organization
Contact information
Practice address
1113 CENTRAL AVE E, WIGGINS, MS 39577
(601) 928-3914
(601) 928-2207
Mailing address
1113 CENTRAL AVE E, WIGGINS, MS 39577
(601) 928-3914
(601) 928-2207
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
758
MS
Other
Enumeration date
01/23/2008
Last updated
04/04/2013
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