R W Brack P C

NPI #1336350859 in Scottsboro, Alabama

Provider Information

NPI Number: 1336350859
Entity Type: Organization
Organization Name: R W Brack P C
Primary Specialty: Optometrist
Enumeration Date: May 25, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 24833 JOHN T REID PKWY
City: Scottsboro
State: Alabama
ZIP Code: 35768-2340
Phone: (256) 574-5698

Authorized Official

Name: DR. RYAN BRACK, O.D.
Title: OPTOMETRIST
Phone: (256) 574-5698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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