DR. Charles Kennon Berry SR., O.D.

NPI #1528014495 in Opelika, Alabama

Provider Information

NPI Number: 1528014495
Entity Type: Individual
Name: DR. Charles Kennon Berry SR., O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: May 25, 2006
Last Updated: May 13, 2014

Practice Location

Address: 2900 PEPPERELL PARKWAY
Address 2: VISION CENTER STORE 0355
City: Opelika
State: Alabama
ZIP Code: 36801
Phone: (334) 745-0980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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