Organization
R W BRACK P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN BRACK O.D. (OPTOMETRIST)
(256) 574-5698
Entity
Organization
Contact information
Practice address
24833 JOHN T REID PKWY, SCOTTSBORO, AL 35768-2340
(256) 574-5698
(256) 574-6939
Mailing address
178 TAMMY GAINES LN, HUNTSVILLE, AL 35811-8951
(256) 746-0170
(256) 574-6939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S975TA537
AL
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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