Individual
DR. AUBREY ALAN ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
109 S MAIN ST, EVERGREEN, AL 36401-3320
(251) 578-2922
(251) 578-2952
Mailing address
109 S MAIN ST, EVERGREEN, AL 36401-3320
(251) 578-2922
(251) 578-2952
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-860-TA-413
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000034940
—
AL
Enumeration date
12/01/2006
Last updated
07/08/2007
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