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Contact Information

MICHELLE EBRAHIM, OD
3300 S OATES ST
PRECISION VISION, PC
DOTHAN, AL36301-5694
 Phone: 334-702-0508
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MICHELLE EBRAHIM · (Female)

NPI Number 1376645226
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/02/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AL License # R-129 TA-427
  • AL Other 51096728 BLUE CROSS BLUE SHIELD
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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