Organization
BELK EYE CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG RANDALL BELK OD. (OWNER)
(228) 832-1832
Entity
Organization
Contact information
Practice address
12199 HIGHWAY 49 STE 100, GULFPORT, MS 39503-3167
(228) 832-1832
Mailing address
12199 HIGHWAY 49 STE 100, GULFPORT, MS 39503-3167
(228) 832-1832
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
573
MS
Other
Enumeration date
11/15/2006
Last updated
03/31/2014
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