Organization
ST. CLAIR EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLEIGH MCVICKER BUCKINGHAM O.D. (VICE PRESIDENT)
(205) 640-3091
Entity
Organization
Contact information
Practice address
2824 MOODY PKWY, MOODY, AL 35004-3101
(205) 640-3091
(205) 640-3092
Mailing address
2824 MOODY PKWY, MOODY, AL 35004-3101
(205) 640-3091
(205) 640-3092
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
S951TA530
AL
152W00000X
Optometrist
Primary
S970TA531
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529906420
—
AL
Enumeration date
12/01/2006
Last updated
05/01/2008
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