Organization
2020 VISION CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICE ALLAN CLARK OD (PRESIDENT/OWNER)
(662) 350-3676
Entity
Organization
Contact information
Practice address
499 GLOSTER CREEK VILLAGE, SUITE F3, TUPELO, MS 38801-4631
(662) 350-3676
(662) 269-2601
Mailing address
499 GLOSTER CREEK VILLAGE, SUITE F3, TUPELO, MS 38801-4631
(662) 350-3676
(662) 269-2601
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
730
MS
Other
Enumeration date
08/05/2006
Last updated
10/31/2016
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