Alabama Retina
Ophthalmology, Retina Specialist in Montgomery, AL. Organization (NPI-2).
NPI number1033578901
StatusActive
Last updated in NPPESJun 7, 2020
Details
- NPI
- 1033578901
- Entity type
- Organization (NPI-2)
- Legal business name
- Alabama Retina
- Organization subpart
- No
- Enumeration date
- Feb 19, 2016
- Certification date
- Jun 7, 2020
- Last updated
- Jun 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207WX0107X | Ophthalmology, Retina Specialist | 30073 | AL | Yes |
| 207W00000X | Ophthalmology | 30073 | AL |
Practice location
242 Winton Blount LoopMontgomery, AL 36117-3501
Phone 334-384-1141
Mailing address
242 Winton Blount LoopMontgomery, AL 36117-3501
Phone 334-384-1141
Other practice locations
4720 Woodmere Blvd
Montgomery, AL 36106-3065
Montgomery, AL 36106-3065
Phone 334-625-0884
2375 Champions Blvd
Auburn, AL 36830-6471
Auburn, AL 36830-6471
Phone 334-384-1141
Authorized official
Andrew Hsia
Founder
3346250884
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