Individual
DR. CASSANDRA LEIGH CLEMENTS MATNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
910 23RD AVE, MERIDIAN, MS 39301-5017
(601) 482-2020
(601) 693-1847
Mailing address
PO BOX 2887, MERIDIAN, MS 39302-2887
(601) 482-2020
(601) 693-1847
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
641
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880188
—
MS
01
—
MC2384802
US DEPT OF JUSTICE
—
Enumeration date
09/27/2006
Last updated
10/02/2013
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