Organization
EAST LIMESTONE EYE CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER MOON SMALL O.D. (PRESIDENT)
(256) 614-9043
Entity
Organization
Contact information
Practice address
15123 E LIMESTONE RD, HARVEST, AL 35749-7221
(256) 230-9637
(256) 230-0143
Mailing address
PO BOX 178, CAPSHAW, AL 35742-0178
(256) 230-9637
(256) 230-0143
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-C33-TA-855
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126155
—
AL
Enumeration date
01/10/2011
Last updated
05/08/2023
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