Organization
JSD EYECARE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER SIEBER DETLOFF O.D. (OWNER/OPTOMETRIST)
(205) 915-8899
Entity
Organization
Contact information
Practice address
9248 PARKWAY E, BIRMINGHAM, AL 35206-1509
(205) 833-3171
(205) 833-3059
Mailing address
1556 INVERNESS COVE LN, BIRMINGHAM, AL 35242-4549
(205) 915-8899
(334) 774-1459
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265586473
NPI
—
Enumeration date
10/17/2014
Last updated
10/17/2014
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