# HENAGAR EYE CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174799274
- **Authorized official:** MS. SHARON KAYE LILES (PRESIDENT)
- **Authorized official phone:** (256) 657-3453

## Contact information

- **Practice address:** 17154 AL HWY 75, HENAGAR, AL 35978
- **Practice address phone:** (256) 657-3453
- **Practice address fax:** (256) 657-3294
- **Mailing address:** PO BOX 236, HENAGAR, AL 35978-0236
- **Mailing address phone:** (256) 657-3453
- **Mailing address fax:** (256) 657-3294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/08/2008
- **Last updated:** 05/08/2008