Organization
CHAD BREWER, OD PC
Active
Other names
Shoals Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTY CHADWICK BREWER O.D. (PRESIDENT)
(256) 766-5405
Entity
Organization
Contact information
Practice address
2126 HELTON DR, FLORENCE, AL 35630-1449
(256) 766-5405
Mailing address
2126 HELTON DR, FLORENCE, AL 35630-1449
(256) 766-5405
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-A64-TA-625
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529920500
—
AL
Enumeration date
01/05/2007
Last updated
10/07/2008
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