GENESIS ONE EYE CARE INC. NPI 1730453473

NPI Information

NPI: 1730453473
Provider Name: GENESIS ONE EYE CARE INC.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1401 SKYLAND BLVD E
IN SAMS CLUB OPTICAL
TUSCALOOSA, AL
ZIP 35405
Phone: (205) 345-3893
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GENESIS ONE EYE CARE INC. is a health service clinic center in Tuscaloosa, AL. GENESIS ONE EYE CARE INC. NPI is 1730453473. The provider is registered as an organization entity type.

The provider's business location address is:

1401 SKYLAND BLVD E
IN SAMS CLUB OPTICAL
TUSCALOOSA, AL
ZIP 35405-229
Phone: (205) 345-3893
Fax: (205) 345-3896

The provider's authorized official is Colleen Dent .
The authorized official title is President and has the following contact phone number (205) 344-2361.

The enumeration date for this NPI number is 2/27/2012 and was last updated on 5/9/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	S477-TA338	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T69080	MEDICARE UPIN	ALABAMA

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

NPI Synchronization or Removal

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