Organization
PELHAM EYE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER WILLIAMS O.D. (OPTOMETRIST)
(205) 910-1750
Entity
Organization
Contact information
Practice address
200 CANYON PARK DR, PELHAM, AL 35124-4817
(205) 910-1750
Mailing address
200 CANYON PARK DR, PELHAM, AL 35124-4817
(205) 910-1750
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861708745
NPI
AL
01
—
1962561746
NPI
AL
Enumeration date
10/16/2020
Last updated
10/16/2020
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