Organization
SEE SIDE OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH E GREGORY OD (PRESIDENT/DOCTOR)
(228) 255-8585
Entity
Organization
Contact information
Practice address
5405 INDIAN HILL BLVD, DIAMONDHEAD, MS 39525-3324
(228) 255-8585
Mailing address
5405 INDIAN HILL BLVD, DIAMONDHEAD, MS 39525-3324
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
574
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880009
—
MS
01
—
1902060643
NPI
MS
01
—
1962658203
NPI
MS
Enumeration date
08/18/2008
Last updated
01/26/2009
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