Individual
ERNEST E. SISNEROS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2550 EASTERN BLVD, MONTGOMERY, AL 36117-1500
(334) 274-2020
(334) 396-9924
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-B01-TA-673
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S-B01-TA-673
AL BOARD OF OPTOMETRY
AL
Enumeration date
02/22/2006
Last updated
03/07/2023
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