Organization
EYECARE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY E ROQUEMORE OD (OPTOMESTRIST)
(205) 221-6718
Entity
Organization
Contact information
Practice address
904 HIGHWAY 78 E, JASPER, AL 35501-3957
(636) 200-4393
(205) 221-7578
Mailing address
PO BOX 207243, DALLAS, TX 75320-7255
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
S438TA078
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013905637
INDIVIDUAL MPI
AL
01
—
1255490041
GROUP NPI
AL
05
—
529702030
—
AL
Enumeration date
12/07/2006
Last updated
07/09/2024
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