Organization
BELLIPANNI EYE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BELLIPANNI O.D. (OWNER)
(662) 887-3120
Entity
Organization
Contact information
Practice address
104 S MARTIN LUTHER KING JR DR, INDIANOLA, MS 38751-2366
(662) 887-3120
(662) 887-3291
Mailing address
104 S MARTIN LUTHER KING JR DR, INDIANOLA, MS 38751-2366
(662) 887-3120
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
843
MS
Other
Enumeration date
10/04/2011
Last updated
05/18/2017
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