Organization
PERFECT OPTICAL EYECARE CENTER LLC
Active
Other names
Perfect Optical Eyecare Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANE WILLIAM BAGLEY O.D. (OWNER AND DOCTOR)
(256) 325-6950
Entity
Organization
Contact information
Practice address
6945 UNIVERSITY DR NW, SUITE G, HUNTSVILLE, AL 35806-1786
(256) 325-6950
(256) 585-1019
Mailing address
6945 UNIVERSITY DR NW, SUITE G, HUNTSVILLE, AL 35806-1786
(256) 325-6950
(256) 585-1019
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-981-TA-566
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529926980
—
AL
Enumeration date
08/19/2008
Last updated
11/24/2015
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