Whalio Doctors

NPI 1073938635

Image Optical LLC

Organisation Ophthalmology Physician Madison, MS

Practice location

Address
501 Baptist Dr STE 160, Madison, MS 39110-2032
Phone
(601) 790-9820
Fax
(601) 790-9822
Mailing address
501 Baptist Dr Suite 140, Madison, MS 39110-2026

Authorised official

Name
William C. Ashford
Title
Owner
Phone
(601) 790-9120

Registered specialties

Ophthalmology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 09309 (MS)

Registry record

NPI
1073938635
Entity type
Organization
NPI issued
19 Feb 2014
Record last updated
1 Sep 2021

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.