Organization
D-FOUR INC
Active
Organization
D-FOUR INC
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
WILMA DEFORD (PRESIDENT)
(205) 556-2490
Entity
Organization
Contact information
Practice address
1701 MCFARLAND BLVD E, 121 UNIVERSITY MALL, TUSCALOOSA, AL 35404-5824
(205) 556-2490
(205) 556-8299
Mailing address
1701 MCFARLAND BLVD E, 121 UNIVERSITY MALL, TUSCALOOSA, AL 35404-5824
(205) 556-2490
(205) 556-8299
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-59763
BLUE CROSS-BLUE SHIELD
AL
Enumeration date
02/08/2007
Last updated
08/22/2020
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