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Contact Information

DR CHARLES J BRAZEAL PC
2005 30TH ST
VALLEY, AL36854-3012
 Phone: 334-768-7203
 Fax: 334-768-3550
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DR CHARLES J BRAZEAL PC

NPI Number 1316097371
LBN Legal business name DR CHARLES J BRAZEAL PC
Authorized official DAWN NORTON - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/11/2007
Last updated 03/14/2014 - About 12 years ago
Identifiers
AL License # S407TA017
AL Medicaid 126300
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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