Organization
THE EYE SHOP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY BRETT FOX O.D. (PRESIDENT)
(205) 612-1941
Entity
Organization
Contact information
Practice address
1904 2ND AVE E, ONEONTA, AL 35121-2710
(205) 274-4433
Mailing address
1904 2ND AVE E, ONEONTA, AL 35121-2710
(205) 274-4433
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-C57-TA-887
AL
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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