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Organization
MEDICAL VISION ASSOCIATES OF NORTHPORT
Active
Organization
MEDICAL VISION ASSOCIATES OF NORTHPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY HUGH SUMNER (OPTICIAN)
(205) 330-0705
Entity
Organization
Contact information
Practice address
3101 MAIN AVE, SUITE C, NORTHPORT, AL 35476-3111
(205) 330-0705
(205) 330-1750
Mailing address
3101 MAIN AVE, SUITE C, NORTHPORT, AL 35476-3111
(205) 330-0705
(205) 330-1750
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
4669
AL
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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