East Montgomery Optical Shoppe in Montgomery - Eyewear Supplier
East Montgomery Optical Shoppe - NPI 1619155736
East Montgomery Optical Shoppe is a Eyewear Supplier in Montgomery, Alabama. East Montgomery Optical Shoppe practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for East Montgomery Optical Shoppe is 1619155736. The last update date is 2011-05-11.
East Montgomery Optical Shoppe's current location address is 262 Mitylene Park Dr, Montgomery, Alabama. You can contact this provider via phone number 3342608511 and fax number 3342608755. The mailing address for East Montgomery Optical Shoppe is 262 Mitylene Park Dr, Montgomery, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Montgomery Optical Shoppe |
|---|---|
| Address | 262 Mitylene Park Dr, Montgomery, Alabama |
| Phone Number | 3342608511 |
| Fax Number | 3342608755 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICAN / |
|---|---|
| Authorized Official Name | Paulk Guinn Wilson |
| Credentials | M.D. |
| Telephone Number | 3342608511 |
NPI Number Detail
| NPI Number | 1619155736 |
|---|---|
| Provider Enumeration Date | 2008-01-31 |
| Last Updated Date | 2011-05-11 |
Provider Mailing Address Detail
| Address | 262 Mitylene Park Dr |
|---|---|
| City | Montgomery |
| State | Alabama (AL) |
| Post Code | 361173548 |
| Phone Number | 3342608511 |
| Fax Number | 3342608755 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51515037 | AL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to East Montgomery Optical Shoppe by the Centers for Medicare & Medicaid Services?
The East Montgomery Optical Shoppe has been issued the NPI (National Provider Identifier) 1619155736, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where East Montgomery Optical Shoppe is geographically located?
The East Montgomery Optical Shoppe is physically situated at the following location: 262 Mitylene Park Dr, Montgomery, AL, 361173548.
What is the East Montgomery Optical Shoppe's area of specialization and corresponding taxonomy classification?
The East Montgomery Optical Shoppe's specialty field is Eyewear Supplier, and it falls under the taxonomy code 332H00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1619155736 to East Montgomery Optical Shoppe?
The East Montgomery Optical Shoppe received its 1619155736 assignment from the Centers for Medicare & Medicaid Services on 2008-01-31.
When was the information pertaining to East Montgomery Optical Shoppe most recently updated or revised?
The details related to East Montgomery Optical Shoppe, including its address, specialty, and other relevant information, were last updated or revised on 2011-05-11.
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