Individual
DR. JACK L. SCHAEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1598 MONTGOMERY HWY, HOOVER, AL 35216-4525
(205) 979-2020
(205) 978-6487
Mailing address
PO BOX 1310, TRUSSVILLE, AL 35173-6102
(205) 833-7086
(205) 836-2018
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-400-TA196
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S-400-TA-196
AL BOARD OF OPTOMETRY
AL
Enumeration date
02/22/2006
Last updated
03/07/2023
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