Lakeland Optical

NPI 1265581599 - Eyewear Supplier (Equipment, not the service) - 332H00000X

NPI Details
NPI 1265581599
Enumeration Date 01/09/2007
Last Updated 07/10/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WINDELL LEE WINDELL
Position MANAGER
Phone (601) 982-9477
Fax (601) 982-4401
Practice Location
3000 OLD CANTON RD
SUITE 100
JACKSON MS, 39216-4200, US
Phone (601) 982-9477
Fax (601) 982-4401
Business Location
3000 OLD CANTON RD
SUITE 100
JACKSON MS, 39216-4200, US
Phone (601) 982-9477
Fax (601) 982-4401
Toxanomy
Taxonomy Code 332H00000X
License State Mississippi
License Number C08463429
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According to our database, Lakeland Optical NPI is 1265581599, taxonomy code is 332H00000X and license number is C08463429, license state is located at Mississippi. Lakeland Optical physically located at 3000 Old Canton Rd, Jackson MS, 39216-4200. NPI Number 1033115704 has the healthcare provider type.

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1265581599 NPI number is provided on an as is basis without warranty of any kind. 1265581599 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeland Optical are for informational purposes only.