Organization
EYEDOCS ON WHEELS PC
Active
Other names
EYEDOCS ON WHEELS PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART GREENBERG O.D. (OWNER)
(256) 332-5440
Entity
Organization
Contact information
Practice address
15255 HWY 43, RUSSELLVILLE, AL 35653
(256) 332-5440
(256) 332-5402
Mailing address
PO BOX 95, RUSSELLVILLE, AL 35653
(256) 332-5440
(256) 332-5402
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002359
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT002359
STATE LICENSE NUMBER
AL
Enumeration date
05/04/2007
Last updated
08/22/2020
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