Organization
SCOTT'S OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLISS SCOTT (OWNER)
(256) 237-6245
Entity
Organization
Contact information
Practice address
822 LEIGHTON AVE, ANNISTON, AL 36207-5786
(256) 237-6245
Mailing address
822 LEIGHTON AVE, ANNISTON, AL 36207-5786
(256) 237-6245
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1215
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215
STATE ID
AL
Enumeration date
12/12/2016
Last updated
12/12/2016
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