Organization
GARDNER EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J CALEB GARDNER O.D. (SOLE MEMBER)
(334) 382-5571
Entity
Organization
Contact information
Practice address
846 FORT DALE RD, GREENVILLE, AL 36037-3509
(334) 382-5571
(334) 383-9101
Mailing address
305 N COLLEGE ST, GREENVILLE, AL 36037-2003
(334) 382-5571
(334) 383-9101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SB80TA787
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7743870001
DMERC
AL
Enumeration date
07/12/2016
Last updated
04/09/2020
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