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Organization
JULIE MOON INC
Active
Organization
JULIE MOON INC
Active
Other names
Family Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE M MOON OPTICIAN (PRESIDENT OPTICIAN)
(256) 362-6466
Entity
Organization
Contact information
Practice address
113 S J WHITE BLVD, TALLADEGA, AL 35160
(256) 362-6466
Mailing address
113 SJ WHITE BLVD, TALLADEGA, AL 35160
(256) 362-6466
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42079
BLUE CROSS
—
Enumeration date
01/18/2007
Last updated
08/22/2020
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