Organization
OWENS OPTICAL OF WETUMPKA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MERVIN SUNDAY (OWNER)
(334) 567-2282
Entity
Organization
Contact information
Practice address
6255 US HIGHWAY 231, WETUMPKA, AL 36092-2831
(334) 567-2282
(334) 514-1134
Mailing address
6255 US HIGHWAY 231, WETUMPKA, AL 36092-2831
(334) 567-2282
(334) 514-1134
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51059498
BLUE CROSS BLUE SHIELD
AL
01
—
51059704
BLUE CROSS BLUE SHIELD
AL
Enumeration date
11/28/2006
Last updated
08/22/2020
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