Organization
PAIR VISION CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH C PAIR OD (OPTOMETRIST)
(205) 655-1335
Entity
Organization
Contact information
Practice address
3532 VANN RD, SUITE 102, BIRMINGHAM, AL 35235-3262
(205) 655-1335
Mailing address
3532 VANN RD, SUITE 102, BIRMINGHAM, AL 35235-3262
(205) 655-1335
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S639TA070
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011065
NVA
AL
01
—
10120
SPECTERA
AL
01
—
117683
EYEMED
AL
01
—
18179
AVESIS
AL
01
—
98190
BCBS FEDERAL
AL
Enumeration date
03/02/2007
Last updated
11/05/2008
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