Organization
POPLARVILLE EYE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETHANY G. HARRINGTON OD (OPTOMETRIST/OWNER)
(601) 795-0137
Entity
Organization
Contact information
Practice address
1716 S MAIN ST, POPLARVILLE, MS 39470-4287
(601) 795-0137
(601) 795-0148
Mailing address
PO BOX 521, POPLARVILLE, MS 39470-0521
(601) 795-0137
(601) 795-0148
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
685
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880221
—
MS
Enumeration date
12/05/2014
Last updated
01/05/2024
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