Organization
EUFAULA EYE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERNAN BENAVIDES O.D. (OWNER)
(334) 687-2545
Entity
Organization
Contact information
Practice address
138 E BROAD ST, EUFAULA, AL 36027-2024
(334) 687-2545
(334) 687-6491
Mailing address
PO BOX 635, EUFAULA, AL 36072-0635
(334) 687-2545
(334) 687-6491
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S387TA013
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000059471
—
AL
05
—
000267495B
—
GA
01
—
51059471
BCBS OF AL
AL
05
—
528802120
—
AL
Enumeration date
01/02/2007
Last updated
02/03/2010
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