Organization
CHILTON COUNTY OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CECIL D PAVEY (PRESIDENT OWNER)
(205) 280-0064
Entity
Organization
Contact information
Practice address
700 7TH ST S, CLANTON, AL 35045
(205) 280-0064
(205) 280-0030
Mailing address
PO BOX 346, CLANTON, AL 35046
(205) 280-0064
(205) 280-0030
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009954170
—
AL
01
—
51500749
BLUE CROSS
AL
01
—
924787
BLOCK VISION
AL
Enumeration date
08/13/2007
Last updated
03/18/2010
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