Organization
DR. JOHN T. KERIOTIS & ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KERIOTIS O.D. (PRESIDENT)
(205) 586-2786
Entity
Organization
Contact information
Practice address
790 MONTGOMERY HWY, SUITE 110, VESTAVIA, AL 35216-1872
(205) 979-3937
(205) 824-3937
Mailing address
1115 LAKE COLONY LN, BIRMINGHAM, AL 35242-7422
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-710-TA-549
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051515567
—
AL
Enumeration date
04/18/2007
Last updated
11/03/2016
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