Organization
TAYLOR VISION CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANA TAYLOR OD (OPTOMETRIST)
(662) 324-2555
Entity
Organization
Contact information
Practice address
1010 HIGHWAY 12 W, STARKVILLE, MS 39759-9167
(662) 324-2555
Mailing address
1010 HIGHWAY 12 W, STARKVILLE, MS 39759-9167
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1137169
—
MS
Enumeration date
02/14/2018
Last updated
02/14/2018
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