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DR. ROYA ATTAR O.D

Eye and Vision Services Providers Optometrist

Provider NPI: 1558788026

Provider Information:
DR. ROYA  ATTAR O.D
Gender: F
Not Sole Proprietor

Practice Location:
2500 N STATE ST  JACKSON, MS 39216 US
Tel: 601-984-5036  Fax: --

Business Mailing Address:
147 SYCAMORE ST  PIKEVILLE, KY 41501-9118 US
Tel: 606-218-5512  Fax: --

NPI Information:
NPI: 1558788026
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
KY1974DT
N152W00000XEye and Vision Services Providers
Optometrist
TX8202-T

Other Provider Identifiers:

IssuerNumberStateType
7100437440KY05



American Medical Association 2012 taxonomy code information

Code: 152W00000X

Type:

Classification:



Definition:



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