Sullins Eye Care Center, Inc.

NPI #1194909721 in Huntsville, Alabama

Provider Information

NPI Number: 1194909721
Entity Type: Organization
Organization Name: Sullins Eye Care Center, Inc.
Primary Specialty: Optometrist
Enumeration Date: Dec 18, 2007
Last Updated: Nov 21, 2012

Practice Location

Address: 7540 MEMORIAL PKWY SW
Address 2: SUITE Q
City: Huntsville
State: Alabama
ZIP Code: 35802-2265
Phone: (256) 880-1966

Authorized Official

Name: LYNNE TIDWELL
Title: BUSINESS MANAGER
Phone: (256) 464-6670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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