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Contact Information

ANGELA D RAYBURN, OD
55292 HIGHWAY 17
SULLIGENT, AL35586
 Phone: 205-698-7020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ANGELA D RAYBURN · (Female)

NPI # 1831423680
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/28/2009
Last updated 07/07/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • AL License # S-C05-TA-838
  • AL Other 102I413114 MEDICARE PTAN
  • AL Other 6343010001 MEDICARE/DME SUPPLIER PTAN
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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