Forestdale Eye Clinic, Inc.

NPI #1679627087 in Hoover, Alabama

Provider Information

NPI Number: 1679627087
Entity Type: Organization
Organization Name: Forestdale Eye Clinic, Inc.
Primary Specialty: Optometrist
Enumeration Date: Jan 22, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2801 JOHN HAWKINS PKWY
Address 2: SUITE 149M
City: Hoover
State: Alabama
ZIP Code: 35244-4007
Phone: (205) 985-7640

Authorized Official

Name: DR. ROBIN LIVELY MARBOURG, O.D.
Title: PRESIDENT
Phone: (205) 985-7640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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