Organization
IDENICA EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATESHA WALKER O.D. (OPTOMETRIST)
(205) 260-9579
Entity
Organization
Contact information
Practice address
1007 RED FARMER DR, HUEYTOWN, AL 35023-1886
(205) 260-9579
Mailing address
1007 RED FARMER DR, HUEYTOWN, AL 35023-1886
(205) 260-9579
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-D06-TA-966
AL
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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