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Organization

ANDREA D SIMS OD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREA D SIMS OD (OWNER PRESIDENT DOCTOR)
(205) 221-3937
Entity
Organization

Contact information

Practice address
1320 HIGHWAY 78 E, JASPER, AL 35501-3965
(205) 221-3937
(205) 221-4417
Mailing address
1320 HIGHWAY 78 E, JASPER, AL 35501-3965
(205) 221-3937
(205) 221-4417

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5618TA131
AL
332H00000X
Eyewear Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000058369
AL
Enumeration date
03/04/2008
Last updated
06/25/2008
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