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Contact Information

AYESHA KIDD SENIOR EYECARE SERVICE LLC
5700 GRELOT RD
APT # 925
MOBILE, AL36609-3617
 Phone: 205-835-5024
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for AYESHA KIDD SENIOR EYECARE SERVICE LLC

NPI # 1487084612
LBN Legal business name AYESHA KIDD SENIOR EYECARE SERVICE LLC
Authorized official AYESHA KIDD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/26/2013
Last updated 04/08/2014 - About 12 years ago
Identifiers
AL License # S-C61-TA-904
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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