Individual
JENNIFER ALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1800 AL-77, SOUTHSIDE, AL 35907-0169
(256) 442-6200
(256) 442-6292
Mailing address
15933 CLAYTON RD STE 201, BALLWIN, MO 63011-2172
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S879TA440
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009946130
—
AL
Enumeration date
08/13/2006
Last updated
09/08/2016
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