| |
32510 Highway 43n, Thomasville, AL 36784-1622 | |
(334) 636-0016 | |
(334) 636-9734 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 32510 Highway 43n, Thomasville, Alabama |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891841599 | NPI | - | NPPES |
51055528 | Other | AL | BLUE CROSS |
000055528 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | S435TA115 (Alabama) | Primary |
Mailing Address | Practice Location Address |
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32510 Highway 43, Thomasville, AL 36784-1611 Ph: (334) 636-0016 | 32510 Highway 43n, Thomasville, AL 36784-1622 Ph: (334) 636-0016 |
Jimmy Ray Hollis, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 34301 Highway 43, Thomasville, AL 36784 Phone: 334-636-4097 Fax: 334-636-1151 |