| |
16662 Us Highway 431 S, Headland, AL 36345-8444 | |
(334) 693-3937 | |
(334) 693-3935 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 16662 Us Highway 431 S, Headland, Alabama |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457628315 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | SB66TA759 (Alabama) | Primary |
Mailing Address | Practice Location Address |
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16662 Us Highway 431 S, Headland, AL 36345-8444 Ph: (334) 693-3937 | 16662 Us Highway 431 S, Headland, AL 36345-8444 Ph: (334) 693-3937 |