Organization
TUPELO EYE CENTER OPTICAL SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN D RUSSELL O.D. (OPTOMETRIST)
(662) 844-7211
Entity
Organization
Contact information
Practice address
610 BRUNSON DR, TUPELO, MS 38801-4947
(662) 844-7211
(662) 680-4455
Mailing address
610 BRUNSON DR, TUPELO, MS 38801-4947
(662) 844-7211
(662) 680-4455
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
041067620
MS
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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