Organization
OXFORD EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD L ADERHOLT O.D. (OPTOMETRIST/OWNER)
(256) 831-2040
Entity
Organization
Contact information
Practice address
333 E CHOCCOLOCCO ST, OXFORD, AL 36203-1225
(256) 831-2040
(256) 831-2716
Mailing address
333 E CHOCCOLOCCO ST, OXFORD, AL 36203-1225
(256) 831-2040
(256) 831-2716
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-540-TA-102
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000058323
—
AL
Enumeration date
04/22/2009
Last updated
04/22/2009
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