Organization
FAMILY EYE CARE OF SYLACAUGA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY LEEANN CANTLEY O.D. (OPTOMETRIST)
(256) 507-1416
Entity
Organization
Contact information
Practice address
493 W 3RD ST, SYLACAUGA, AL 35150-1916
(256) 245-7696
Mailing address
493 W 3RD ST, SYLACAUGA, AL 35150-1916
(256) 245-7696
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-C54-TA-889
AL
332BC3200X
Customized Equipment (DME)
S-C54-TA-889
AL
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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