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Organization

ENTERPRISE OPTICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LORIE C. WOODS O.D. (OWNER)
(334) 393-2020
Entity
Organization

Contact information

Practice address
812 E. LEE, ENTERPRISE, AL 36330
(334) 393-2020
(334) 393-6936
Mailing address
812 E. LEE, ENTERPRISE, AL 36330
(334) 393-2020
(334) 393-6936

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111905
EYEMED
AL
01
51004506
BLUE CROSS BLUE SHIELD
AL
Enumeration date
08/09/2006
Last updated
03/21/2008
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