Ayesha Kidd Senior Eyecare Service LLC

NPI #1487084612 in Mobile, Alabama

Provider Information

NPI Number: 1487084612
Entity Type: Organization
Organization Name: Ayesha Kidd Senior Eyecare Service LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 26, 2013
Last Updated: Apr 8, 2014

Practice Location

Address: 5700 GRELOT RD
Address 2: APT # 925
City: Mobile
State: Alabama
ZIP Code: 36609-3617
Phone: (205) 835-5024

Authorized Official

Name: AYESHA KIDD
Title: OWNER
Phone: (205) 835-5024

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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