Individual
DR. JACQUELYN OLIVIA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4925 UNIVERSITY DRIVE NW, SUITE 102, HUNTSVILLE, AL 35816
(256) 830-9533
(256) 830-0644
Mailing address
4925 UNIVERSITY DR. NW, SUITE 102, HUNTSVILLE, AL 35816
(256) 830-9533
(256) 830-0644
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-B30-TA-735
AL
Other
Enumeration date
10/03/2006
Last updated
11/14/2011
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