Organization
FLEMING KIRK, LLC
Active
Other names
Troy Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNA FLEMING KIRK OD (OWNER)
(334) 403-0627
Entity
Organization
Contact information
Practice address
97 OAK PARK DRIVE, TROY, AL 36079
(334) 403-0627
Mailing address
97 OAK PARK DR, TROY, AL 36079-3081
(334) 566-7172
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S853TA409
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487622932
INDIV NPI
AL
Enumeration date
02/06/2007
Last updated
01/19/2017
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