Coast Eyes Pllc

NPI 1114223823 - Optometrist - 152W00000X

NPI Details
NPI 1114223823
Enumeration Date 01/28/2011
Last Updated 01/28/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name SCOTT SCOTT
Position SOLE MEMBER
Phone (228) 392-8141
Fax (228) 392-8181
Practice Location
3887 PROMENADE PKWY
SUITE C
D'IBERVILLE MS, 39540-5379, US
Phone (228) 392-8141
Fax (228) 392-8181
Business Location
3887 PROMENADE PKWY
SUITE C
D'IBERVILLE MS, 39540-5379, US
Phone (228) 392-8141
Fax (228) 392-8181
Toxanomy
Taxonomy Code 152W00000X
License State Mississippi
License Number 755
Remove 1114223823 NPI Number
 

According to our database, Coast Eyes Pllc NPI is 1114223823, taxonomy code is 152W00000X and license number is 755, license state is located at Mississippi. Coast Eyes Pllc physically located at 3887 Promenade Pkwy, D'iberville MS, 39540-5379. NPI Number 1033115704 has the healthcare provider type.

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1114223823 NPI number is provided on an as is basis without warranty of any kind. 1114223823 is maintained by the National Plan & Provider Enumeration System. The contents of Coast Eyes Pllc are for informational purposes only.