Organization
ANDALUSIA EYE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES H TILLMAN JR. OD (OWNER)
(334) 222-2020
Entity
Organization
Contact information
Practice address
1860 E THREE NOTCH ST, ANDALUSIA, AL 36421-2404
(334) 222-2020
Mailing address
PO BOX 1517, ANDALUSIA, AL 36420-1226
(334) 222-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S620TA088
AL
207W00000X
Ophthalmology Physician
00025149
AL
Other
Enumeration date
12/26/2006
Last updated
08/17/2015
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