Healthcare Provider Details
I. General information
NPI: 1851531107
Provider Name (Legal Business Name): HOOVER EYE CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/26/2009
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2122 OLD MONTGOMERY HWY
PELHAM AL
35124-1138
US
IV. Provider business mailing address
2000 RIVERCHASE GALLERIA STE 299B
HOOVER AL
35244-2318
US
V. Phone/Fax
- Phone: 205-987-2308
- Fax: 205-987-2648
- Phone: 205-987-2308
- Fax: 205-987-2648
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QS0132X |
| Taxonomy | Ophthalmologic Surgery Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332H00000X |
| Taxonomy | Eyewear Supplier |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | S-506-TA-300 |
| License Number State | AL |
VIII. Authorized Official
Name: DR.
JIM
HOUSTON
DAY
JR.
Title or Position: OWNER
Credential: O.D.
Phone: 205-987-2308