Organization
EYE CARE ASSOCIATES OF THE SOUTHEAST, P.C.
Active
Other names
EYE CARE ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM HEATH FEAGIN O.D. (PRESIDENT)
(334) 794-1175
Entity
Organization
Contact information
Practice address
111 W MAIN ST, DOTHAN, AL 36301
(334) 794-1175
(334) 793-0619
Mailing address
PO BOX 1846, DOTHAN, AL 36302-1846
(334) 794-1175
(334) 793-0619
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-429-TA-034
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000059835
—
AL
01
—
410022118
RAILROAD MEDICARE
AL
01
—
59835
BCBS OF ALABAMA
AL
Enumeration date
10/02/2006
Last updated
11/05/2008
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