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Indianola Eye Clinic PA — NPI 1578730800, Indianola, MS | NPI Central

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NPI 1578730800

OrganizationActive

Indianola Eye Clinic PA

NPI 1578730800 · Optometrist · Indianola, MS

Provider details

NPI number: 1578730800
Entity type: Organization
Primary specialty: OptometristEye and Vision Services Providers
Organization subpart: No
Authorized official: Wilburn Lord, President(662) 332-0163
License: 460 (MS)

Specialties & taxonomies

OptometristPrimary152W00000XLicense 460 (MS)
Eye and Vision Services Providers

Practice location

224 Virginia St

Indianola, MS 38751-2221

Phone: (662) 887-3671

Fax: (662) 887-3675

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

239 S. Washington Ave.

Greenville, MS 38704

Other names (DBA / former)

Doing business as: Delta Eye Center

Registry dates

Enumerated: 2008-05-15
Last updated: 2008-05-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.