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General NPI Number Information
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NPI Number | 1053506683
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Entity Type | Organization
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Legal Business Name | CORINTH EYE CLINIC, INC
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 3201 GAINES RD
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City | CORINTH
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State | MS
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Zip | 38834-8422
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Country | US
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Telephone | 662-286-8860
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Fax | 662-286-3079
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Provider Business Mailing Address
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Address Line | 3201 GAINES RD
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City | CORINTH
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State | MS
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Zip | 38834-8422
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Country | US
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Telephone | 662-286-8860
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Fax | 662-286-3079
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL L WEEDEN
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Credential | O.D.
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Telephone | 662-286-8860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 581
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License Number State | MS
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