Organization
ANTHONY RILEY AUSTIN
Active
Other names
Northport Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY AUSTIN OD (PRESIDENT)
(205) 333-7859
Entity
Organization
Contact information
Practice address
8204 LAKE SHERWOOD CIR, NORTHPORT, AL 35473-8425
(205) 333-7859
(205) 333-7869
Mailing address
8204 LAKE SHERWOOD CIR, NORTHPORT, AL 35473-8425
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S960TA520
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51539681
BCBSAL
AL
Enumeration date
05/23/2007
Last updated
06/25/2008
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