Healthcare Provider Details

I. General information

NPI: 1770591380
Provider Name (Legal Business Name): SOUTHERN EYE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 02/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 OZARK RD
ABBEVILLE AL
36310-2629
US

IV. Provider business mailing address

609 OZARK RD
ABBEVILLE AL
36310-2629
US

V. Phone/Fax

Practice location:
  • Phone: 334-585-9626
  • Fax: 334-585-9605
Mailing address:
  • Phone: 334-585-9626
  • Fax: 334-585-9605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL E MURRAY JR.
Title or Position: PRESIDENT
Credential: O. D.
Phone: 334-585-9626