Idenica Eyecare, LLC

NPI #1508222399 in Hueytown, Alabama

Provider Information

NPI Number: 1508222399
Entity Type: Organization
Organization Name: Idenica Eyecare, LLC
Primary Specialty: Optometrist
Enumeration Date: Jan 8, 2016
Last Updated: Jan 8, 2016

Practice Location

Address: 1007 RED FARMER DR
City: Hueytown
State: Alabama
ZIP Code: 35023-1886
Phone: (205) 260-9579

Authorized Official

Name: DR. LATESHA WALKER, O.D.
Title: OPTOMETRIST
Phone: (205) 260-9579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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