Healthcare Provider Details

I. General information

NPI: 1902245277
Provider Name (Legal Business Name): HAYES EYE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2013
Last Update Date: 06/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16233 HIGHWAY 280 SUITE C
CHELSEA AL
35043-8355
US

IV. Provider business mailing address

16233 HIGHWAY 280 SUITE C
CHELSEA AL
35043-8355
US

V. Phone/Fax

Practice location:
  • Phone: 205-678-2020
  • Fax: 205-678-2021
Mailing address:
  • Phone: 205-678-2020
  • Fax: 205-678-2021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberS-683-TA-175
License Number StateAL

VIII. Authorized Official

Name: DR. ROBERT HAYES
Title or Position: OPTOMETRIST
Credential: OD
Phone: 205-678-2020