Greenwood Eye Care, Llc

NPI 1093147928 - Optometrist - 152W00000X

NPI Details
NPI 1093147928
Enumeration Date 08/02/2013
Last Updated 08/02/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JACOB DANIEL JACOB
Position OWNER/OPTOMETRIST
Phone (662) 609-6402
Fax
Practice Location
2202 HWY 82 W
GREENWOOD MS, 38930-2706, US
Phone (662) 609-6402
Fax
Business Location
110 ACORN LN
BATESVILLE MS, 38606-2359, US
Phone (662) 609-6402
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Mississippi
License Number 887
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According to our database, Greenwood Eye Care, Llc NPI is 1093147928, taxonomy code is 152W00000X and license number is 887, license state is located at Mississippi. Greenwood Eye Care, Llc physically located at 2202 Hwy 82 W, Greenwood MS, 38930-2706. NPI Number 1033115704 has the healthcare provider type.

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1093147928 NPI number is provided on an as is basis without warranty of any kind. 1093147928 is maintained by the National Plan & Provider Enumeration System. The contents of Greenwood Eye Care, Llc are for informational purposes only.