Organization
PAIRS WEST ALABAMA EYECARE
Active
Other names
WEST ALABAMA EYECARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH CHARLES PAIR OD (OWNER)
(205) 556-4180
Entity
Organization
Contact information
Practice address
2615 MCFARLAND BLVD E, TUSCALOOSA, AL 35405-1803
(205) 556-4180
(205) 556-7082
Mailing address
2615 MCFARLAND BLVD E, TUSCALOOSA, AL 35405-1803
(205) 556-4180
(205) 556-7082
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
5382
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000058471
MEDICARE ID TYPE
AL
Enumeration date
10/05/2006
Last updated
03/16/2010
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