Organization
SOUTH ALABAMA EYE CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURI FRAZIER WYATT O.D. (PRESIDENT)
(334) 774-4703
Entity
Organization
Contact information
Practice address
1892 ANDREWS AVE, OZARK, AL 36360-3724
(334) 774-4703
Mailing address
100 FRANKWOOD DR, MIDLAND CITY, AL 36350-6034
(334) 873-4247
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-B17-TA-702
AL
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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