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Organization
EAST ALABAMA OPTICAL SHOP, LLC
Active
Organization
EAST ALABAMA OPTICAL SHOP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERTRAND M. ANZ II M.D. (MANAGING MEMBER)
(334) 821-3838
Entity
Organization
Contact information
Practice address
1805 LAKESIDE CIR, AUBURN, AL 36830-2825
(334) 321-9700
(334) 321-9694
Mailing address
1805 LAKESIDE CIR, AUBURN, AL 36830-2825
(334) 321-9700
(334) 321-9694
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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