Selma Family Practice Optometry, Inc.

NPI #1104971803 in Demopolis, Alabama

Provider Information

NPI Number: 1104971803
Entity Type: Organization
Organization Name: Selma Family Practice Optometry, Inc.
Primary Specialty: Optometrist
Enumeration Date: Jan 24, 2007
Last Updated: Jan 24, 2011

Practice Location

Address: 1502 HIGHWAY 80E
Address 2: SUITE A
City: Demopolis
State: Alabama
ZIP Code: 36732-0799
Phone: (334) 289-1008

Authorized Official

Name: MS. WILLIE F SMITH, MANAGER
Title: OPTICIAN
Phone: (334) 289-1008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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