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Individual

DR. STEPHEN MICHAEL BRZYTWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2620 CENTRON DR SW, DECATUR, AL 35603-2500
(256) 350-6655
(256) 350-2548
Mailing address
58 DEERFIELD DR, DECATUR, AL 35603-5269
(256) 350-7365

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-944-TA-509
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11357
SPECTERA
AL
01
222816
COLE VISION LOC. 133157
AL
01
2549057
UNITED HEALTH CARE
AL
01
36568-003
GE DAVIS
AL
01
515-23772
BLUE CROSS & BLUE SHIELD
AL
01
AL0509
EYEMED
AL
Enumeration date
12/19/2006
Last updated
07/08/2007
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