Organization
LANDRETH & ASSOCIATES INC
Active
Other names
Pickens Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN RODNEY LANDRETH OD (PRESIDENT)
(205) 375-8200
Entity
Organization
Contact information
Practice address
311 1ST STREET, REFORM, AL 35481
(205) 375-8200
(205) 375-8234
Mailing address
PO BOX 59, 311 1ST STREET, REFORM, AL 35481-0059
(205) 375-8200
(205) 375-8234
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S914TA467
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009961460
—
AL
01
—
051500677
BCBS
AL
Enumeration date
09/07/2006
Last updated
05/15/2008
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