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Contact Information

ALABAMA EYE CLINIC PC
109 COOSA STREET EAST
SUITE A
TALLADEGA, AL35160-2546
 Phone: 256-362-4872
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ALABAMA EYE CLINIC PC · (Female)

NPI Number 1639351372
Status Active
Credentials
Entity Individual
Enumeration date 12/05/2007
Last updated 12/20/2012 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL Medicaid 529801330
  • AL Other 51039940 BCBS AL
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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