| |
607 S Commerce St, Geneva, AL 36340-2410 | |
(334) 684-6070 | |
(334) 684-2640 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 607 S Commerce St, Geneva, Alabama |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396913257 | NPI | - | NPPES |
OP2871 | Other | AL | EYEMED |
29447 | Other | SPECTERA | |
59886 | Other | AL | DAVIS VISION |
103169 | Medicaid | AL | |
132755 | Other | VISION CARE PLAN | |
000058183 | Medicaid | AL | |
51040254 | Other | AL | BCBS OF AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | S584TA252 (Alabama) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
---|---|
607 S Commerce St, Geneva, AL 36340-2410 Ph: (334) 684-6070 | 607 S Commerce St, Geneva, AL 36340-2410 Ph: (334) 684-6070 |