Organization
ALBERTVILLE FAMILY OPTICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA L LEE O.D. (PRESIDENT)
(256) 878-9027
Entity
Organization
Contact information
Practice address
8425 US HIGHWAY 431 N, ALBERTVILLE, AL 35950
(256) 878-9027
(256) 891-7855
Mailing address
P.O. BOX 404, ALBERTVILLE, AL 35950
(256) 878-9027
(256) 891-7855
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ST410TA319
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000059564
—
AL
01
—
510-59564
BCBS
AL
Enumeration date
12/27/2006
Last updated
10/05/2012
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