Eye Clinic Of Eupora, Inc

NPI 1033240825 - Optometrist - 152W00000X

NPI Details
NPI 1033240825
Enumeration Date 03/07/2007
Last Updated 11/12/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHARLES CHARLES
Position OPTOMETRIST
Phone (662) 258-2020
Fax (662) 258-2030
Practice Location
3126 E ROANE AVE
EUPORA MS, 39744-2638, US
Phone (662) 258-2020
Fax (662) 258-2030
Business Location
PO BOX 225
EUPORA MS, 39744-0225, US
Phone (662) 258-2020
Fax (662) 258-2030
Toxanomy
Taxonomy Code 152W00000X
License State Mississippi
License Number 519
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According to our database, Eye Clinic Of Eupora, Inc NPI is 1033240825, taxonomy code is 152W00000X and license number is 519, license state is located at Mississippi. Eye Clinic Of Eupora, Inc physically located at 3126 E Roane Ave, Eupora MS, 39744-2638. NPI Number 1033115704 has the healthcare provider type.

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1033240825 NPI number is provided on an as is basis without warranty of any kind. 1033240825 is maintained by the National Plan & Provider Enumeration System. The contents of Eye Clinic Of Eupora, Inc are for informational purposes only.