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Contact Information

C B MCINNISH, OD PA
106 W JACKSON ST
BREWTON, AL36426-1516
 Phone: 251-867-3635
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for C B MCINNISH, OD PA

NPI # 1548391337
LBN Legal business name C B MCINNISH, OD PA
Authorized official CARL MCINNISH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2007
Last updated 04/08/2008 - About 18 years ago
Identifiers
AL License # S-312-TA-059
AL Other 51092846 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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