Organization
ROSE EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER SAMUEL ROSE OD (OWNER)
(662) 887-5668
Entity
Organization
Contact information
Practice address
401 CATCHINGS AVE, INDIANOLA, MS 38751-2468
(662) 887-5668
(662) 887-5671
Mailing address
401 CATCHINGS AVE, INDIANOLA, MS 38751-2468
(662) 887-5668
(662) 887-5671
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
571
MS
Other
Enumeration date
06/19/2008
Last updated
08/10/2011
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