NPI 1073938635
Image Optical LLC
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
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.