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Organization

BAY EYES SPECTACULAR INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH F GRAVLEE JR. M.D. (OPTHAMOLOGIST)
(251) 943-3937
Entity
Organization

Contact information

Practice address
1624 N MCKENZIE ST, FOLEY, AL 36535-2248
(251) 943-3937
Mailing address
1624 N MCKENZIE ST, FOLEY, AL 36535-2248
(251) 943-3937

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0527980002
MEDICARE LEGACY INDENTIFIER
AL
01
510-58327
BLUE CROSS BLUE SHIELD OF
AL
Enumeration date
09/13/2007
Last updated
03/28/2011
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