East Alabama Optical Shop, LLC

NPI #1548663016 in Auburn, Alabama

Provider Information

NPI Number
1548663016
Entity Type
Organization
Organization Name
East Alabama Optical Shop, LLC
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 29, 2014
Last Updated
Sep 29, 2014

Practice Location

Address
1805 LAKESIDE CIR
City
Auburn
State
Alabama
ZIP Code
36830-2825
Phone
(334) 321-9700

Authorized Official

Name
DR. BERTRAND M. ANZ II, M.D.
Title
MANAGING MEMBER
Phone
(334) 821-3838

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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