Healthcare Provider Details

I. General information

NPI: 1861573313
Provider Name (Legal Business Name): RHODES OPTICAL & HEARING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 11/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3014 ALLISON BONNETT MEMORIAL DR SUITE 116
HUEYTOWN AL
35023-2392
US

IV. Provider business mailing address

3014 ALLISON BONNETT MEMORIAL DR SUITE 116
HUEYTOWN AL
35023-2392
US

V. Phone/Fax

Practice location:
  • Phone: 205-497-6100
  • Fax: 205-497-6200
Mailing address:
  • Phone: 205-497-6100
  • Fax: 205-497-6200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. NORMAN K RHODES
Title or Position: OWNER
Credential:
Phone: 205-497-6100