Individual
DR. JAMES C STAUP III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6838 HIGHWAY 431 S, SUITE A, OWENS CROSS ROADS, AL 35763-7200
(256) 534-3900
(256) 534-6994
Mailing address
6838 HIGHWAY 431 S, SUITE A, OWENS CROSS ROADS, AL 35763-7200
(256) 534-3900
(256) 534-6994
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-783-TA-295
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000058571
—
AL
01
—
DN3541
MEDICARE RAILROAD CARRIER
—
Enumeration date
06/30/2006
Last updated
05/04/2012
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