| |
506 N Main St, Tuscumbia, AL 35674-2049 | |
(256) 383-2121 | |
(256) 383-2131 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 506 N Main St, Tuscumbia, Alabama |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093999831 | NPI | - | NPPES |
009933175 | Medicaid | AL | |
0663380002 | Other | AL | DMERC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | S-722-TA-009 (Alabama) | Primary |
Mailing Address | Practice Location Address |
---|---|
506 N Main St, Tuscumbia, AL 35674-2049 Ph: (256) 383-2121 | 506 N Main St, Tuscumbia, AL 35674-2049 Ph: (256) 383-2121 |