Healthcare Provider Details

I. General information

NPI: 1336236579
Provider Name (Legal Business Name): ALABASTER OPTICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 1ST ST N
ALABASTER AL
35007-8764
US

IV. Provider business mailing address

PO BOX 160
ALABASTER AL
35007-2020
US

V. Phone/Fax

Practice location:
  • Phone: 205-663-2177
  • Fax: 205-663-4743
Mailing address:
  • Phone: 205-663-2177
  • Fax: 205-663-4743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number4081
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number2158
License Number StateAL

VIII. Authorized Official

Name: MR. WILLIAM A GREEN
Title or Position: VICE PRESIDENT
Credential:
Phone: 205-663-2177