Sullins Eye Care Center, Inc.

NPI #1578744868 in Madison, Alabama

Provider Information

NPI Number: 1578744868
Entity Type: Organization
Organization Name: Sullins Eye Care Center, Inc.
Primary Specialty: Optometrist
Enumeration Date: Nov 15, 2007
Last Updated: Nov 21, 2012

Practice Location

Address: 104 GIN OAKS CT
City: Madison
State: Alabama
ZIP Code: 35758-1736
Phone: (256) 464-6670

Authorized Official

Name: LYNNE TIDWELL
Title: BUSINESS MANAGER
Phone: (256) 464-6670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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