Wallace Optometry Associates
Optometrist in Bessemer, AL. Organization (NPI-2).
NPI number1245307032
StatusActive
Last updated in NPPESApr 23, 2009
Details
- NPI
- 1245307032
- Entity type
- Organization (NPI-2)
- Legal business name
- Wallace Optometry Associates
- Organization subpart
- No
- Enumeration date
- Nov 29, 2006
- Last updated
- Apr 23, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
1431 2nd Ave NBessemer, AL 35020-5608
Phone 205-425-5182 · Fax 205-426-5013
Mailing address
1431 2nd Ave NBessemer, AL 35020-5608
Phone 205-425-5182 · Fax 205-426-5013
Authorized official
Fred Wallace
Partner
2054255182
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