Individual
DR. CHARLES A BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
790 MONTGOMERY HWY STE 110, VESTAVIA HILLS, AL 35216-1873
(205) 823-4555
(205) 823-1881
Mailing address
2473 HACKWORTH RD, BIRMINGHAM, AL 35214-1909
(205) 798-3033
(205) 798-3647
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-524-TA-199
AL
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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