NPI 1417270943

Gracie PLLC

Organisation Eyewear Supplier Tupelo, MS

Practice location

Address: 2005 W Main St, Tupelo, MS 38801-3214
Phone: (662) 205-4654

Authorised official

Name: Thomas S Powell
Title: President/Optometrist
Phone: (662) 205-4654

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 0525 (MS)

Other Eyewear Supplier providers in Mississippi →

Registry record

NPI: 1417270943
Entity type: Organization
NPI issued: 11 Mar 2010
Record last updated: 11 Mar 2010

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.