Organization
MONTGOMERY EYE CARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
W GUINN PAULK MD (OWNER/PHYSICIAN)
(334) 260-8511
Entity
Organization
Contact information
Practice address
262 MITYLENE PARK DR, MONTGOMERY, AL 36117-3548
(334) 260-8511
(334) 260-8755
Mailing address
262 MITYLENE PARK DR, MONTGOMERY, AL 36117-3548
(334) 260-8511
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-C93
AL
Other
Enumeration date
07/02/2012
Last updated
07/03/2012
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