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Contact Information

COOSA EYE ASSOCIATES, P.C.
34011 US HIGHWAY 280
CHILDERSBURG, AL35044-2128
 Phone: 256-378-5507
 Fax: 256-378-5325
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for COOSA EYE ASSOCIATES PC · (Female)

NPI Number 1053488544
Status Active
Credentials
Entity Individual
Enumeration date 11/29/2006
Last updated 03/06/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL License # S-471-TA-079
  • AL Medicaid 000059662
  • AL Other 510-59662 BLUE CROSS
  • AL Other 102G703418 MEDICARE ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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