Individual
DR. CHARLES KENNON BERRY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2900 PEPPERELL PARKWAY, VISION CENTER STORE 0355, OPELIKA, AL 36801
(334) 745-0980
(334) 745-6211
Mailing address
728 BRENDA AVE, AUBURN, AL 36830-6038
(334) 821-7646
(334) 821-7646
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S0425TA230
AL
Other
Enumeration date
05/25/2006
Last updated
05/13/2014
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