Healthcare Provider Details

I. General information

NPI: 1679632665
Provider Name (Legal Business Name): PERRY EYE & VISION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 01/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HULL RD SUITE 6
SUMITON AL
35148-4317
US

IV. Provider business mailing address

100 HULL RD SUITE 6
SUMITON AL
35148-4317
US

V. Phone/Fax

Practice location:
  • Phone: 205-648-3251
  • Fax: 205-648-3276
Mailing address:
  • Phone: 205-648-3251
  • Fax: 205-648-3276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberS-346-TA-314
License Number StateAL

VIII. Authorized Official

Name: DR. FELTON FLOYD PERRY JR.
Title or Position: PRESIDENT
Credential: O.D.
Phone: 205-648-3251