Individual
P. DUNCAN ROY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
34011 US HIGHWAY 280, CHILDERSBURG, AL 35044-2128
(256) 378-5507
(256) 378-5325
Mailing address
PO BOX J, CHILDERSBURG, AL 35044-0510
(256) 378-5507
(256) 378-5325
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-471-TA-079
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000059662
MEDICARE
AL
05
—
000059662
—
AL
01
—
102I413417
MEDICARE ID
AL
01
—
510-59662
BLUE CROSS
AL
01
—
631019335
UNITED HEALTHCARE
AL
01
—
631019335
HUMANA DENTAL
KY
Enumeration date
11/09/2006
Last updated
06/05/2014
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