NPI 1548585763

Optical Center

Organisation Optician Keesler Afb, MS

Practice location

Address: 506 Larcher Blvd Bldg 2306, Keesler Afb, MS 39534-2342
Phone: (228) 435-4418
Fax: (228) 432-2324
Mailing address: 296 Grayson Hwy, Lawrenceville, GA 30046-5737

Authorised official

Name: Susan Edick
Title: Mc Assistant
Phone: (678) 892-3774

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Mississippi →

Registry record

NPI: 1548585763
Entity type: Organization
NPI issued: 30 Mar 2010
Record last updated: 30 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.