Organization
WHATLEY EYE CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL LEE WHATLEY O.D. (PRESIDENT)
(334) 745-3112
Entity
Organization
Contact information
Practice address
518 AVENUE A, OPELIKA, AL 36801-5064
(334) 745-3112
(334) 745-8751
Mailing address
518 AVENUE A, OPELIKA, AL 36801-5064
(334) 745-3112
(334) 745-8751
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-720-TA-192
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51531835
BLUE CROSS
AL
05
—
529926430
—
AL
01
—
OT42627
UNITED HEALTH CARE
AL
Enumeration date
12/04/2006
Last updated
11/10/2015
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