Organization
BAY EYES CATARACT AND LASER CENTER, INC.
Active
Other names
Southern Eye Group of Alabama
Organization subpart
No
Provider details
NPI number
Authorized official
SUNIL GUPTA MD (PRESIDENT)
(850) 476-6759
Entity
Organization
Contact information
Practice address
411 N. SECTION ST., FAIRHOPE, AL 36532-2649
(251) 990-3937
(251) 990-9990
Mailing address
P.O. BOX 2020, FAIRHOPE, AL 36533-2020
(251) 990-3937
(251) 990-9990
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528501590
—
AL
Enumeration date
02/06/2007
Last updated
06/21/2018
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