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NPI Code Detail

MEDICARE: EYECARE ASSOCIATES, INC.

MEDICARE: EYECARE ASSOCIATES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristS838TA391AL
2152W00000XOptometristSC62TA905AL
3152W00000XOptometristS536TA063AL
4332H00000XEyewear SupplierS536TA063AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11376515361OTHERALINDIVIDUAL NPI
21790772655OTHERALINDIVIDUAL NPI
31396030912OTHERALINDIVIDUAL NPI

General Provider Information

NPI Number : 1992830079
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYECARE ASSOCIATES, INC.
Provider Business Mailing Address
First Line : PO BOX 207243
Second Line :
City : DALLAS
State : TX
Zip : 75320-7255
Country : US
Telephone Number : 636-200-4393
Fax Number : 636-527-0766
Provider Business Practice Location Address
First Line : 600 WASHINGTON ST NW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35801-4751
Country : US
Telephone Number : 636-200-4393
Fax Number : 256-533-1910
Authorized Official
Title or Position : DOCTOR
Name : JAMES J WACHTER
Credential : OD
Telephone Number : 636-200-4393
Provider Enumeration Date : 02/22/2007
Last Update Date : 07/09/2024

Similar Medicare Providers

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Practice Location Address:
600 WASHINGTON ST NW
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1376515361 — KENNETH R MOULTRIE OD
Practice Location Address:
600 WASHINGTON ST NW
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1396030912 — DR. BENJAMIN EDWARD PENDERGRASS O.D.
Practice Location Address:
600 WASHINGTON ST NW
HUNTSVILLE, AL
35801-4751
Practice Phone: 256-533-6838
Practice Fax:
1508354093 — JESSICA ARIGHI BOYD
Practice Location Address:
600 WASHINGTON ST NW
HUNTSVILLE, AL
35801-4751
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1013644277 — NATHAN CASH
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600 WASHINGTON ST NW
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35801-4751
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Practice Fax:
1326714627 — SAVITRE GEERATISOONTORN
Practice Location Address:
300 PELHAM AVE SW SUITE A4 #284
HUNTSVILLE, AL
35801-5016
Practice Phone: 855-832-6727
Practice Fax: 772-675-9100

Directions to “EYECARE ASSOCIATES, INC. ” Practice Location

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