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Organization

DR. MICHAEL D. WARE & ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL DAVID WARE O.D. (OPTOMETRIST)
(662) 397-4766
Entity
Organization

Contact information

Practice address
402 DOCTORS DR, NEW ALBANY, MS 38652-3109
(662) 539-7771
(662) 539-7256
Mailing address
402 DOCTORS DR, NEW ALBANY, MS 38652-3109
(662) 539-7771
(662) 539-7256

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MS626
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009015897
MS
01
410000274
MEDICARE
MS
Enumeration date
12/17/2007
Last updated
07/14/2023
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