Organization
EAST ALABAMA OPTICAL SHOP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERTRAND M. ANZ II M.D. (MANAGING MEMBER)
(334) 821-3838
Entity
Organization
Contact information
Practice address
1805 LAKESIDE CIR, AUBURN, AL 36830-2825
(334) 321-9700
(334) 321-9694
Mailing address
1805 LAKESIDE CIR, AUBURN, AL 36830-2825
(334) 321-9700
(334) 321-9694
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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