Organization
MONTGOMERY EYE SURGERY CENTER LLC
Active
Other names
The Montgomery Eye Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
2752 ZELDA RD, MONTGOMERY, AL 36106-2694
(334) 270-9677
(334) 213-0622
Mailing address
2752 ZELDA RD, MONTGOMERY, AL 36106-2694
(334) 270-9677
(334) 213-0622
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
U5103
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I433009
CRNA - BLATZ
AL
05
—
ASC0051C
—
AL
Enumeration date
01/18/2006
Last updated
04/22/2022
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