Organization
SOUTH EAST EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEWANNA K STAUP O.D. (GENERAL PARTNER)
(256) 534-3900
Entity
Organization
Contact information
Practice address
6838 HIGHWAY 431 S, SUITE A, OWENS CROSS ROADS, AL 35763-7200
(256) 534-3900
(256) 534-6994
Mailing address
6838 HIGHWAY 431 S, SUITE A, OWENS CROSS ROADS, AL 35763-7200
(256) 534-3900
(256) 534-6994
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
06/05/2008
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