NPI 1497990048

Miranda Wood Maynard, OD

Practitioner Optometrist Pontotoc, MS

Practice location

Address: 26 South Main Street, Pontotoc, MS 38863-2811
Phone: (662) 489-5907

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence MS797 (MS)

Other Optometrist providers in Mississippi →

Registry record

NPI: 1497990048
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Dec 2008
Record last updated: 5 Oct 2012

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.