Individual
WESLEY DEWAYNE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1303 DR MARTIN L KING JR AVE, MOBILE, AL 36603-5341
(251) 666-5060
(251) 666-5789
Mailing address
3187 CORNELL DR STE 201, GULF BREEZE, FL 32563-2785
(228) 731-7417
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
944TPA94515
MS
152W00000X
Optometrist
Primary
R-251-TA-A69
AL
Other
Enumeration date
07/14/2009
Last updated
05/22/2019
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