Bay Eyes Spectacular, INC
Technician/Technologist, Optician in Fairhope, AL. Organization (NPI-2).
NPI number1114046026
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1114046026
- Entity type
- Organization (NPI-2)
- Legal business name
- Bay Eyes Spectacular, INC
- Organization subpart
- No
- Enumeration date
- Mar 29, 2007
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | AL | Yes |
Practice location
411 N Section StFairhope, AL 36532-2649
Phone 251-990-9999 · Fax 251-990-9990
Mailing address
411 N Section StFairhope, AL 36532-2649
Phone 251-990-9999 · Fax 251-990-9990
Authorized official
Joseph Frank Gravlee
Owner
2519909999
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