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EAST ALABAMA OPTICAL SHOP LLC NPI 1548663016


NPI Information

NPI: 1548663016
Provider Name: EAST ALABAMA OPTICAL SHOP, LLC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1805 LAKESIDE CIR
AUBURN, AL
ZIP 36830
Phone: (334) 321-9700
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EAST ALABAMA OPTICAL SHOP, LLC is an eyewear supplier in Auburn, AL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. EAST ALABAMA OPTICAL SHOP, LLC NPI is 1548663016. The provider is registered as an organization entity type.

The provider's business location address is:

1805 LAKESIDE CIR
AUBURN, AL
ZIP 36830-825
Phone: (334) 321-9700
Fax: (334) 321-9694

The provider's authorized official is Bertrand M. Anz .
The authorized official title is Managing Member and has the following contact phone number (334) 821-3838.

The enumeration date for this NPI number is 9/29/2014 and was last updated on 9/29/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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