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Individual

ROBERTA LEE TOMSIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
2091 FLORENCE BOULEVARD, FLORENCE, AL 35630
(256) 766-2120
(256) 766-2796
Mailing address
2091 FLORENCE BOULEVARD, PO BOX 159, FLORENCE, AL 35630
(256) 766-2120
(256) 766-2796

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S719TA177
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51591340
BLUE CROSS OF AL
AL
Enumeration date
01/09/2007
Last updated
04/25/2011
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