Healthcare Provider Details

I. General information

NPI: 1376522185
Provider Name (Legal Business Name): BFC AFFORDABLE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2006
Last Update Date: 05/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 MADISON AVE
MONTGOMERY AL
36104-3628
US

IV. Provider business mailing address

PO BOX 934
MONTGOMERY AL
36101-0934
US

V. Phone/Fax

Practice location:
  • Phone: 334-834-2020
  • Fax: 334-834-2020
Mailing address:
  • Phone: 334-834-2020
  • Fax: 334-834-2020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. RAMONA C COX
Title or Position: OWNER
Credential: OPTICIAN
Phone: 334-834-2020