NPI 1518151059

Rrti 2 LLC

Organisation Optometrist Tupelo, MS

Practice location

Address: 1140 W Main St, Tupelo, MS 38801-3445
Phone: (662) 842-3328
Fax: (662) 842-3308
Mailing address: 2119 Highway 82 E, Greenville, MS 38703-6010

Authorised official

Name: Reagan Lee Ford
Title: Owner
Phone: (662) 332-3325

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 775 (MS)

Other Optometrist providers in Mississippi →

Registry record

NPI: 1518151059
Entity type: Organization
NPI issued: 28 Aug 2007
Record last updated: 17 Dec 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.