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Contact Information

DONNA L. LEE OD ,D/B/A TALLADEGA FAMILY OPTICAL
112 COURT SQ S
TALLADEGA, AL35160-2461
 Phone: 256-362-9595
 Fax: 256-362-0707
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DONNA L. LEE OD ,D/B/A TALLADEGA FAMILY OPTICAL

NPI Number 1003965633
LBN Legal business name DONNA L. LEE OD ,D/B/A TALLADEGA FAMILY OPTICAL
Authorized official DEBORAH EDWARDS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/10/2007
Last updated 06/24/2008 - About 18 years ago
Identifiers
AL License # ST410TA319
AL Medicaid 009936628
AL Other 515-33852 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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