Organization
ICARE EYECARE, LLC
Active
Other names
Morris Avenue Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VALENCIA ROBERTSON WELLS OD (OWNER)
(205) 328-1744
Entity
Organization
Contact information
Practice address
2014 MORRIS AVE, BIRMINGHAM, AL 35203-4108
(205) 328-1744
(205) 328-4270
Mailing address
2014 MORRIS AVE, BIRMINGHAM, AL 35203-4108
(205) 328-1744
(205) 328-4270
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-C08-TA-828
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102G700056
PTAN
AL
05
—
151212
—
AL
01
—
DU6174
RAILROAD MEDICARE PTAN
AL
Enumeration date
10/05/2009
Last updated
01/14/2015
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