Individual
BUFORD DEVIN COE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ABOC,NCLE,BSHCA,MBA
Contact information
Practice address
401 SCHILLINGER RD N, MOBILE, AL 36608-5203
(255) 371-3891
Mailing address
1609 SOUTH 10TH ST, OCEAN SPRINGS, MS 39567
(228) 447-1580
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
156FC0800X
Contact Lens Technician/Technologist
—
—
156FC0801X
Contact Lens Fitter
—
—
156FX1100X
Ophthalmic Technician/Technologist
—
—
156FX1101X
Ophthalmic Assistant
—
—
156FX1201X
Optometric Assistant Technician
—
—
156FX1202X
Optometric Technician
—
—
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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