Organization
20/20 VISIONWORKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA MARBUARY O.D. (PRESIDENT)
(205) 370-9430
Entity
Organization
Contact information
Practice address
2780 JOHN HAWKINS PKWY, HOOVER, AL 35244-4001
(205) 733-9311
(205) 733-9581
Mailing address
5865 WATER POINT LN, HOOVER, AL 35244-4115
(205) 370-9430
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC 44 TA 870
AL
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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