Healthcare Provider Details

I. General information

NPI: 1982706396
Provider Name (Legal Business Name): THE EYECARE PLACE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5011 GARY AVE.
FAIRFIELD AL
35064
US

IV. Provider business mailing address

5011 GARY AVE.
FAIRFIELD AL
35064
US

V. Phone/Fax

Practice location:
  • Phone: 205-781-5995
  • Fax:
Mailing address:
  • Phone: 205-781-5995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number
License Number State

VIII. Authorized Official

Name: DR. LAURA ARTHUR WHITE
Title or Position: PRESIDENT
Credential: O.D.
Phone: 205-781-5995