Organization
OPTICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TODD EUBANKS (OWNER/PRESIDENT)
(256) 442-2000
Entity
Organization
Contact information
Practice address
132 JESTER PKWY, RAINBOW CITY, AL 35906-6737
(125) 644-2200
Mailing address
132 JESTER PKWY, RAINBOW CITY, AL 35906-6737
(256) 442-2000
(256) 442-4775
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
AL
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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