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Organization
EYE PARTNERS PC
Active
Organization
EYE PARTNERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARNIX E HEERSINK MD (PRESIDENT)
(334) 793-2211
Entity
Organization
Contact information
Practice address
2800 ROSS CLARK CIRCLE, DOTHAN, AL 36301
(334) 793-2211
(334) 793-7161
Mailing address
2800 ROSS CLARK CIRCLE, DOTHAN, AL 36301
(334) 793-2211
(334) 793-7161
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529903390
—
AL
01
—
CG3904
RAILROAD MEDICARE GROUP
—
Enumeration date
07/05/2006
Last updated
10/01/2019
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