Organization
STANCIL HANDLEY O.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP STANCIL HANLDLEY O.D. (OWNER)
(205) 669-4131
Entity
Organization
Contact information
Practice address
112 SOUTH MAIN STREET, COLUMBIANA, AL 35051
(205) 669-4131
(205) 669-4737
Mailing address
PO BOX 828, COLUMBIANA, AL 35051-0828
(205) 669-4131
(205) 669-4737
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S432TA044
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J676
MEDICARE GROUP NUMBER
AL
Enumeration date
10/22/2007
Last updated
02/25/2010
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