Healthcare Provider Details

I. General information

NPI: 1679548044
Provider Name (Legal Business Name): THE EYECARE PLACE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 08/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1627 CENTER POINT PKWY
CENTER POINT AL
35215-5503
US

IV. Provider business mailing address

1627 CENTER POINT PKWY
CENTER POINT AL
35215-5503
US

V. Phone/Fax

Practice location:
  • Phone: 205-856-1522
  • Fax:
Mailing address:
  • Phone: 205-856-1522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberS857TA416
License Number StateAL

VIII. Authorized Official

Name: DR. LAURA ARTHUR WHITE
Title or Position: PRESIDENT
Credential: O.D.
Phone: 205-856-1522