Organization
FORESTDALE EYE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBIN LIVELY MARBOURG O.D. (PRESIDENT)
(205) 985-7640
Entity
Organization
Contact information
Practice address
2801 JOHN HAWKINS PKWY, SUITE 149M, HOOVER, AL 35244-4007
(205) 985-7640
(205) 985-7638
Mailing address
2801 JOHN HAWKINS PKWY, SUITE 149M, HOOVER, AL 35244-4007
(205) 985-7640
(205) 985-7638
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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