Healthcare Provider Details

I. General information

NPI: 1902902463
Provider Name (Legal Business Name): EYECARE ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1735 E MAIN ST
PRATTVILLE AL
36066-5525
US

IV. Provider business mailing address

PO BOX 207243
DALLAS TX
75320-7243
US

V. Phone/Fax

Practice location:
  • Phone: 334-358-2188
  • Fax: 334-358-0766
Mailing address:
  • Phone: 636-200-4393
  • Fax: 636-527-0766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JAMES WACHTER
Title or Position: CMO
Credential: O.D.
Phone: 636-227-2600