| Henagar Eye Clinic Inc | |
|
17154 Al Hwy 75 Henagar AL 35978 | |
| (256) 657-3453 | |
| (256) 657-3294 |
| Full Name | Henagar Eye Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17154 Al Hwy 75, Henagar, Alabama |
| Authorized Official Name and Position | Sharon Kaye Liles (PRESIDENT) |
| Authorized Official Contact | 2566573453 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henagar Eye Clinic Inc Po Box 236 Henagar AL 35978-0236 Ph: (256) 657-3453 | Henagar Eye Clinic Inc 17154 Al Hwy 75 Henagar AL 35978 Ph: (256) 657-3453 |
| NPI Number | 1174799274 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 05/08/2008 |
| Medicare PECOS PAC ID | 7012070857 |
|---|---|
| Medicare Enrollment ID | O20090106000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174799274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | David Lauren Clokey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386171544 PECOS PAC ID: 7911276159 Enrollment ID: I20170703001748 |
| Provider Name | Katelyn Bunn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760059018 PECOS PAC ID: 6608270087 Enrollment ID: I20210806001400 |
Henagar Family Medicine, L.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18324 Alabama Highway 75, Henagar, AL 35978 Phone: 256-657-1101 Fax: 256-657-1115 |