Decatur Optical Dispensary

NPI #1629014469 in Decatur, Alabama

Provider Information

NPI Number: 1629014469
Entity Type: Organization
Organization Name: Decatur Optical Dispensary
Primary Specialty: Eyewear Supplier
Enumeration Date: Jun 21, 2006
Last Updated: Jan 14, 2015

Practice Location

Address: 201 6TH AVE SE
City: Decatur
State: Alabama
ZIP Code: 35601-3115
Phone: (256) 351-0040

Authorized Official

Name: MR. JACK LYNN HOLBERT
Title: PRESIDENT
Phone: (256) 351-0040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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