Organization
SOUTHEASTER OCULAR PROSTHETICS
Active
Organization
SOUTHEASTER OCULAR PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOMMY PRATT (PRACTICE MGR)
(205) 939-1990
Entity
Organization
Contact information
Practice address
700 18TH ST S, SUITE #402, BIRMINGHAM, AL 35233-1856
(205) 939-1990
Mailing address
700 18TH ST S, SUITE #402, BIRMINGHAM, AL 35233-1856
(205) 939-1990
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/06/2007
Last updated
08/22/2020
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