| |
10184 Eastern Shore Blvd, Suite A, Spanish Fort, AL 36527-5814 | |
(251) 301-5650 | |
(251) 621-9645 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 10184 Eastern Shore Blvd, Spanish Fort, Alabama |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710433271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | S486RA041 (Alabama) | Primary |
Provider Name | Stephen M Gross |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1831112317 PECOS PAC ID: 5294793568 Enrollment ID: I20050103000916 |
Provider Name | David J Helton |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1467473835 PECOS PAC ID: 9436100237 Enrollment ID: I20050209000663 |
Mailing Address | Practice Location Address |
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10184 Eastern Shore Blvd, Suite A, Spanish Fort, AL 36527-5814 Ph: () - | 10184 Eastern Shore Blvd, Suite A, Spanish Fort, AL 36527-5814 Ph: (251) 301-5650 |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10200 Eastern Shore Blvd, Spanish Fort, AL 36527 Phone: 251-264-6412 |