Healthcare Provider Details

I. General information

NPI: 1841862018
Provider Name (Legal Business Name): RANDY DAVID POSEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2021
Last Update Date: 07/15/2021
Certification Date: 05/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12835 HIGHWAY 231 431 N STE D
HAZEL GREEN AL
35750-6601
US

IV. Provider business mailing address

PO BOX 1143
ATHENS AL
35612-1143
US

V. Phone/Fax

Practice location:
  • Phone: 256-828-0708
  • Fax: 256-233-8676
Mailing address:
  • Phone: 256-232-7000
  • Fax: 256-233-8676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: RANDY DAVID POSEY
Title or Position: OPTOMETRIST
Credential: OD
Phone: 256-337-7784