Organization
THIRD COAST OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA CHAMBERS (OWNER)
(251) 923-8684
Entity
Organization
Contact information
Practice address
22835 STATE HIGHWAY 59 S STE D, ROBERTSDALE, AL 36567-6154
(251) 923-8684
Mailing address
22835 STATE HIGHWAY 59 S STE D, ROBERTSDALE, AL 36567-6154
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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