Organization
OZARK ONE-HOUR OPTICAL, INC.
Active
Other names
Ozark Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY ALAN JOHNSON (OWNER/OPTICIAN)
(334) 774-4703
Entity
Organization
Contact information
Practice address
1892 ANDREWS AVE, OZARK, AL 36360-3724
(334) 774-4703
(334) 774-4725
Mailing address
1892 ANDREWS AVE, OZARK, AL 36360-3724
(334) 774-4703
(334) 774-4725
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
10273
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51518998
BLUECROSS/BLUESHIELD
AL
Enumeration date
10/23/2006
Last updated
05/13/2008
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