Irving Eye Care Llc

NPI 1134522576 - Optometrist - 152W00000X

NPI Details
NPI 1134522576
Enumeration Date 09/30/2014
Last Updated 05/22/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name QUATRISA QUATRISA
Position OWNER / PHYSICIAN
Phone (601) 957-6078
Fax (601) 957-6924
Practice Location
1200 E COUNTY LINE RD
STE 166
RIDGELAND MS, 39157-1949, US
Phone (601) 957-6078
Fax (601) 957-6924
Business Location
1200 E COUNTY LINE RD
STE 166
RIDGELAND MS, 39157-1949, US
Phone (601) 957-6078
Fax (601) 957-6924
Toxanomy
Taxonomy Code 152W00000X
License State Mississippi
License Number 836
Remove 1134522576 NPI Number
 

According to our database, Irving Eye Care Llc NPI is 1134522576, taxonomy code is 152W00000X and license number is 836, license state is located at Mississippi. Irving Eye Care Llc physically located at 1200 E County Line Rd, Ridgeland MS, 39157-1949. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1134522576 NPI number is provided on an as is basis without warranty of any kind. 1134522576 is maintained by the National Plan & Provider Enumeration System. The contents of Irving Eye Care Llc are for informational purposes only.