Organization
MAGIC CITY EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KACEY C CILIMBERG OD (OWNER)
(205) 506-2200
Entity
Organization
Contact information
Practice address
8011 LIBERTY PKWY STE 103, VESTAVIA, AL 35242-7670
(205) 506-2200
(205) 506-2257
Mailing address
9839 S 168TH AVE STE F, OMAHA, NE 68136-1116
(402) 504-4680
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103I414821
—
AL
Enumeration date
08/31/2020
Last updated
10/22/2020
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