Organization
CULLMAN OPTICAL SHOP INC
Active
Other names
cullman optical shop
Organization subpart
No
Provider details
NPI number
Authorized official
GARRY LEE LAY OPTICAN (PRESIDENT OWNER)
(256) 739-3651
Entity
Organization
Contact information
Practice address
115 2ND AVE NE, CULLMAN, AL 35055-2903
(256) 739-3651
Mailing address
115 2ND AVE NE, CULLMAN, AL 35055-2903
(256) 739-3651
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
NOT REQUIRED IN AL
AL
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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