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Organization

JSD EYECARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER S DETLOFF O.D. (OPTOMETRIST/ OWNER)
(205) 915-8899
Entity
Organization

Contact information

Practice address
340 E MEIGHAN BLVD, GADSDEN, AL 35903-1049
(205) 915-8899
(256) 543-7789
Mailing address
1556 INVERNESS COVE LN, BIRMINGHAM, AL 35242-4549
(205) 915-8899
(256) 543-7789

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-876-TA-437
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1265586473
INDIVIDUAL NPI
AL
Enumeration date
02/01/2016
Last updated
02/01/2016
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