Organization
JSD EYECARE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER DETLOFF O.D. (OPTOMETRIST)
(205) 915-8899
Entity
Organization
Contact information
Practice address
1600 MONTCLAIR RD, IRONDALE, AL 35210-2410
(205) 951-3268
(205) 833-3059
Mailing address
1556 INVERNESS COVE LN, BIRMINGHAM, AL 35242-4549
(205) 915-8899
(205) 833-3171
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265586473
PERSONAAL NPI
—
Enumeration date
11/04/2014
Last updated
11/04/2014
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