Organization
PRIMARY EYECARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINA LOVINGGOOD OD (AUTHORIZED OFFICIAL/PRESIDENT/OD)
(334) 874-7024
Entity
Organization
Contact information
Practice address
2401 MEDICAL CENTER PKWY., SELMA, AL 36701-7756
(334) 874-7024
(334) 874-7372
Mailing address
2401 MEDICAL CENTER PKWY., SELMA, AL 36701-7756
(334) 874-7024
(334) 874-7372
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC32TA854
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128417
—
AL
Enumeration date
04/26/2011
Last updated
04/22/2024
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