Organization
MICHAEL GRIFFIN PC
Active
Other names
Dothan Optometric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ALVIN GRIFFIN O.D. (OWNER)
(334) 479-0043
Entity
Organization
Contact information
Practice address
1450 ROSS CLARK CIR, SUITE 400, DOTHAN, AL 36301-4765
(334) 479-0043
(334) 792-8630
Mailing address
206 MEDICAL CARE WAY, SUITE 400, DOTHAN, AL 36303-4765
(334) 794-8797
(334) 479-0658
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S774-TA-431
AL
156FX1800X
Optician
S774-TA-431
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127693
—
AL
Enumeration date
02/25/2011
Last updated
08/31/2021
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