Organization
POARCH BAND OF CREEK INDIANS DBA PREMIER FAMILY EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDDIE JACKSON (HEALTH ADMINISTRATOR)
(251) 368-9136
Entity
Organization
Contact information
Practice address
5811 JACK SPRINGS RD, ATMORE, AL 36502-5025
(251) 446-3937
(251) 368-0805
Mailing address
5811 JACK SPRINGS RD., ATMORE, AL 36502
(251) 446-3937
(251) 368-0805
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529919290
—
AL
Enumeration date
08/28/2006
Last updated
01/27/2017
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