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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

NPI Number 1982757480
LBN Legal business name DR CHARLES J BRAZEAL P C
Authorized official DAWN NORTON - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/19/2007
Last updated 03/14/2014 - About 12 years ago
Identifiers
AL License # S407TA017
AL Medicaid 126302
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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