Organization
CHAMPAGNE OPTICAL
Active
Other names
EC Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHE S CHAMPAGNE (OPTICIAN)
(251) 962-3077
Entity
Organization
Contact information
Practice address
12999 6TH STREET, LILLIAN, AL 36549-4117
(251) 962-3077
(251) 962-3083
Mailing address
12999 6TH STREET, LILLIAN, AL 36549-4117
(251) 962-3077
(251) 962-3083
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
96872008
AL
Other
Enumeration date
05/13/2008
Last updated
05/21/2008
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