Individual
NICOLE GUYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D., M.S.
Contact information
Practice address
1716 UNIVERSITY BLVD, HPB G080A, BIRMINGHAM, AL 35294-0010
(205) 975-2020
(205) 934-6755
Mailing address
1716 UNIVERSITY BLVD, HPB G080A, BIRMINGHAM, AL 35294-0010
(205) 975-2020
(205) 934-6755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-D34-TA-A09
AL
152WL0500X
Low Vision Rehabilitation Optometrist
S-D34-TA-A09
AL
Other
Enumeration date
12/23/2014
Last updated
07/24/2015
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