| |
109 S Main St, Evergreen, AL 36401-3320 | |
(251) 578-2922 | |
(251) 578-2952 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 109 S Main St, Evergreen, Alabama |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699805960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | S-860-TA-413 (Alabama) | Primary |
Mailing Address | Practice Location Address |
---|---|
109 S Main St, P.o. Box 862, Evergreen, AL 36401-3320 Ph: (251) 578-2922 | 109 S Main St, Evergreen, AL 36401-3320 Ph: (251) 578-2922 |
Dr. Aubrey Alan Odom, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 109 S Main St, Evergreen, AL 36401 Phone: 251-578-2922 Fax: 251-578-2952 |