Organization
VISION SOURCE, INC.
Active
Other names
GRAYSON VALLEY FAMILY EYE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY C FEW O.D. (PRESIDENT)
(205) 520-9002
Entity
Organization
Contact information
Practice address
5590 CHALKVILLE RD STE B, BIRMINGHAM, AL 35235-8637
(205) 520-9002
(205) 520-9064
Mailing address
5590 CHALKVILLE RD, SUITE B, BIRMINGHAM, AL 35235-8636
(205) 520-9002
(205) 520-9064
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
07005076
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051523183
—
AL
05
—
051523259
—
AL
Enumeration date
11/21/2006
Last updated
09/03/2009
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