NPI 1164920484

Wells Vision LLC

Organisation Optometrist Brookhaven, MS

Practice location

Address: 960 Brookway Blvd, Brookhaven, MS 39601-2644
Phone: (601) 823-4494
Mailing address: 1390 Moses Rd, Raymond, MS 39154-8943

Authorised official

Name: Channing Wells
Title: Optometrist
Phone: (601) 946-5492

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 916 (MS)

Other Optometrist providers in Mississippi →

Registry record

NPI: 1164920484
Entity type: Organization
NPI issued: 1 Feb 2018
Record last updated: 1 Feb 2018

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.