Organization
WIREGRASS EYE CARE OF OZARK, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GISELLE PACHECO CHILDERS (OWNER, OPTOMETRIST)
(334) 443-1260
Entity
Organization
Contact information
Practice address
231 E BROAD ST, OZARK, AL 36360-1507
(334) 443-1260
Mailing address
231 E BROAD ST, OZARK, AL 36360-1507
(334) 443-1260
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
05/16/2022
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