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Organization

EYE CENTER SURGEONS & ASSOC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LAURIE J GUIDO (BUSINESS MANAGER)
(256) 705-3937
Entity
Organization

Contact information

Practice address
401 MERIDIAN ST N, 200, HUNTSVILLE, AL 35801-4720
(256) 705-3937
Mailing address
401 MERIDIAN ST N, 200, HUNTSVILLE, AL 35801-4720
(256) 705-3937

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
332H00000X
Eyewear Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000008474
MEDICARE PROVIDER
01
000008502
MEDICARE PROVIDER
01
000009077
MEDICARE PROVIDER
01
000009396
MEDICARE PROVIDER
01
051507443
MEDICARE PROVIDER
01
7077960001
MEDICARE
AL
Enumeration date
08/09/2006
Last updated
06/16/2022
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