Organization
BAY EYES SURGERY CENTER
Active
Other names
VISIONARY USA.COM SURGERY INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH F GRAVLEE JR. M.D. (OWNER/ DOCTOR)
(251) 990-3937
Entity
Organization
Contact information
Practice address
411 NORTH SECTION STREET, FAIRHOPE, AL 36532
(251) 990-3937
(251) 990-9990
Mailing address
PO BOX 2020, FAIRHOPE, AL 36533-2020
(251) 990-3937
(251) 990-9990
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
12947
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051557682
—
AL
01
—
2721198
UNITED HEALTHCARE
—
01
—
510-04612
BLUE CROSS BLUE SHIEDL OF ALABAMA
AL
Enumeration date
07/27/2006
Last updated
06/24/2008
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