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Organization
PAIRS WEST ALABAMA EYECARE
Active
Organization
PAIRS WEST ALABAMA EYECARE
Active
Other names
WEST ALABAMA EYECARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH CHARLES PAIR OD (OWNER)
(205) 556-4180
Entity
Organization
Contact information
Practice address
2615 MCFARLAND BLVD E, TUSCALOOSA, AL 35405-1803
(205) 556-4180
(205) 556-7082
Mailing address
2615 MCFARLAND BLVD E, TUSCALOOSA, AL 35405-1803
(205) 556-4180
(205) 556-7082
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
5382
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000058471
MEDICARE ID TYPE
AL
Enumeration date
10/05/2006
Last updated
03/16/2010
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