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St. Clair Eye Care LLC

Optometrist in Moody, AL. Organization (NPI-2).

NPI number1346318912
StatusActive
Last updated in NPPESMay 1, 2008

Details

NPI
1346318912
Entity type
Organization (NPI-2)
Legal business name
St. Clair Eye Care LLC
Organization subpart
No
Enumeration date
Dec 1, 2006
Last updated
May 1, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristS970TA531ALYes
152W00000X OptometristS951TA530AL

Practice location

2824 Moody Pkwy
Moody, AL 35004-3101

Phone 205-640-3091 · Fax 205-640-3092

Mailing address

2824 Moody Pkwy
Moody, AL 35004-3101

Phone 205-640-3091 · Fax 205-640-3092

Authorized official

Shelleigh McVicker Buckingham
Vice President
2056403091

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