Organization
SELMA EYE ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICE JOSE LYN OD (PRESIDENT)
(334) 872-6296
Entity
Organization
Contact information
Practice address
700 DALLAS AVE, SELMA, AL 36701-5451
(334) 872-6296
(334) 872-5000
Mailing address
PO BOX 1245, SELMA, AL 36702-1245
(334) 872-6296
(334) 872-5000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
R119TA114
AL
Other
Enumeration date
06/20/2006
Last updated
09/10/2010
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