Organization
FERRIS EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK C FERRIS (PRESIDENT)
(205) 221-2033
Entity
Organization
Contact information
Practice address
309 19TH ST E, JASPER, AL 35501-5413
(205) 221-2033
(205) 221-2035
Mailing address
309 19TH ST E, JASPER, AL 35501-5413
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S677TA182
AL
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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