Healthcare Provider Details

I. General information

NPI: 1538313267
Provider Name (Legal Business Name): RHODES OPTICAL & HEARING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2008
Last Update Date: 11/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750A ALLISON BONNETT MEMORIAL DR
DOLOMITE AL
35061-1183
US

IV. Provider business mailing address

PO BOX 662
DOLOMITE AL
35061-0662
US

V. Phone/Fax

Practice location:
  • Phone: 205-744-8663
  • Fax:
Mailing address:
  • Phone: 205-744-8663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MR. SIDNEY LLOYD RHODES
Title or Position: OWNER
Credential:
Phone: 205-744-8663