NPI 1801215272

Tupelo Eye Center Optical Shop

Organisation Eyewear Supplier Tupelo, MS

Practice location

Address: 610 Brunson Dr, Tupelo, MS 38801-4947
Phone: (662) 844-7211
Fax: (662) 680-4455

Authorised official

Name: Ryan D Russell
Title: Optometrist
Phone: (662) 844-7211

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 041067620 (MS)

Other Eyewear Supplier providers in Mississippi →

Registry record

NPI: 1801215272
Entity type: Organization
NPI issued: 14 Apr 2014
Record last updated: 14 Apr 2014

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.