Organization
LANDRETH & ASSOCIATES INC
Active
Other names
Tuscaloosa Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN RODNEY LANDRETH OD (PRESIDENT)
(205) 758-0242
Entity
Organization
Contact information
Practice address
3519 WATERMELON RD, FAIRFAX PARK, NORTHPORT, AL 35473-5174
(205) 758-0242
(205) 758-0262
Mailing address
1655 MCFARLAND BLVD N, SUITE 127, TUSCALOOSA, AL 35406-2212
(205) 758-0242
(205) 758-0262
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S 914 TA 467
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051500676
BCBS
—
05
—
529919580
—
AL
01
—
CH9939
RAILROAD MEDICARE
AL
Enumeration date
10/27/2006
Last updated
03/18/2009
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