NPI 1013130988
Rolling Fork Eye Clinic
Practice location
- Address
- 64 S Fourth St, Rolling Fork, MS 39159-5147
- Phone
- (662) 873-4045
- Fax
- (662) 873-4452
- Mailing address
- PO Box 185, Rolling Fork, MS 39159-0185
Authorised official
- Name
- Ruth C Anderson
- Title
- Practice Manager
- Phone
- (662) 332-0163
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1013130988
- Entity type
- Organization
- NPI issued
- 10 Apr 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.