Whalio Doctors

NPI 1407825037

Barnes Crossing Vision Center P. A.

Organisation Optometrist Tupelo, MS

Practice location

Address
3929 N Gloster St, Tupelo, MS 38804-0915
Phone
(662) 840-4624
Mailing address
1028 Fawn Dr, Tupelo, MS 38804-1924

Authorised official

Name
Mike L McCullough
Title
Office Manager
Phone
(662) 243-2600

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 487 (MS)
Corneal and Contact Management Optometrist
Eye and Vision Services Providers Taxonomy 152WC0802X Licence TPA 94061 (MS)

Registry record

NPI
1407825037
Entity type
Organization
NPI issued
16 Mar 2006
Record last updated
13 Nov 2007

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.