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Contact Information

DR CHARLES J BRAZEAL P C
950 HIGHWAY 431 STE 4
ROANOKE, AL36274-7314
 Phone: 334-863-2221
 Fax: 334-863-2319
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DR CHARLES J BRAZEAL P C · (Female)

NPI # 1982757480
Status Active
Credentials
Entity Individual
Enumeration date 01/19/2007
Last updated 03/14/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL License # S407TA017
  • AL Medicaid 126302
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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