Individual
JIM RIFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
2530 JACKSON AVE W, OXFORD, MS 38655-5403
(662) 236-5565
Mailing address
321 WISHING TREE LN, OXFORD, MS 38655-6131
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
660
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880223
—
MS
Enumeration date
04/03/2007
Last updated
07/08/2007
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