Organization
GENESIS ONE EYE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLEEN DENT O.D. (PRESIDENT)
(205) 344-2361
Entity
Organization
Contact information
Practice address
2231 1ST AVE, SUITE B, TUSCALOOSA, AL 35401-5008
(205) 722-2437
(205) 331-4653
Mailing address
PO BOX 70175, TUSCALOOSA, AL 35407-0175
(205) 344-2361
(205) 759-5594
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
S477-TA338
AL
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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