Individual
DR. ANGELA DOWDY PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1801 HIGHWAY 78 E, JASPER, AL 35501-4037
(205) 302-0020
(205) 387-3426
Mailing address
540 MOUNT VIEW RD, HAYDEN, AL 35079-8618
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S841TA374
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1637815
MEDICAID
LA
01
—
51525032
BLUE CROSS AND BLUE SHIEL
AL
01
—
926295
BLOCK VISION
AL
Enumeration date
08/31/2006
Last updated
07/08/2007
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