Organization
BLUE VISION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATANDRA BLUE OD (CEO/OWNER)
(205) 821-7252
Entity
Organization
Contact information
Practice address
2818 LAKESHORE PKWY, BIRMINGHAM, AL 35211-5500
(205) 417-2583
Mailing address
2818 LAKESHORE PKWY, BIRMINGHAM, AL 35211-5500
(205) 417-2583
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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