Organization
RESERVOIR EYE CARE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA CLEMENTS-MATNEY (OD/OWNER)
(601) 613-8403
Entity
Organization
Contact information
Practice address
536 LINDLEY RD, MERIDIAN, MS 39305-2301
(601) 613-8403
Mailing address
PO BOX 2887, MERIDIAN, MS 39302-2887
(601) 613-8403
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
641
MS
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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