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Organization

CASS L. CLEMENTS, O.D., LLC

Active
Other names
Family Eye Care of Ridgeland
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CASS L CLEMENTS O.D. (OWNER)
(601) 956-6557
Entity
Organization

Contact information

Practice address
1200 E COUNTY LINE RD, STE 164, RIDGELAND, MS 39157-1904
(601) 956-6557
(601) 956-6559
Mailing address
1200 E COUNTY LINE RD, STE 164, RIDGELAND, MS 39157-1904
(601) 956-6557
(601) 956-6559

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
641
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00880188
MS
05
U77113
MS
Enumeration date
09/17/2012
Last updated
09/17/2012
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