Dr. Tyrus Agee, OD
Optometrist in Fultondale, AL. Individual provider (NPI-1).
NPI number1689340564
StatusActive
Last updated in NPPESAug 19, 2021
Details
- NPI
- 1689340564
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tyrus Agee
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 19, 2021
- Certification date
- Aug 19, 2021
- Last updated
- Aug 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | S-E91-TA-C39 | AL | Yes |
Practice location
3477 Lowery Pkwy Ste 137Fultondale, AL 35068-1687
Phone 205-946-2720
Mailing address
1600 19th St SwBirmingham, AL 35211-4616
Phone 504-650-4562
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