RIVERBEND EYECARE, P.A.
Optometry at Pemberton Square Blvd, Vicksburg, MS

License number
Mississippi MS579
Category
Optometry
Type
Optometrist
Owner
Name: DR. DAVID L. PRUDHOMME O.D.
Title: PRESIDENT
Phone: (601) 630-9199
Address
Address
3505 Pemberton Square Blvd SUITE 45, Vicksburg, MS 39180
National Provider ID: 1811957624
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about RIVERBEND EYECARE, P.A. at bizstanding.com

Riverbend Eyecare, PA

3505 Pemberton Sq Blvd, Vicksburg, MS 39180

Status:
Inactive
Industry:
Nonclassifiable Establishments, Optical Goods Stores, Ret Optical Goods
Doing business as:
DR. DAVID L. PRUDHOMME, PA
State ID:
630908
Previous name:
DR. DAVID L. PRUDHOMME, PA
Director, President, Executive Directors:
Belinda Kent (Incorporator), 1110 Jackson St, Vicksburg, MS 39180,Shelia Whitehead (Incorporator), 1110 Jackson St, Vicksburg, MS 39180,David Prudhomme Director, President, Executive Director, inactive, 135 Pebble Bch Dr, Vicksburg, MS 39183
Agent:
Todd Boolos,110 Monument Pl, Vicksburg, MS 39182 (Physical)

Optometry licenses in Mississippi