Healthcare Provider Details

I. General information

NPI: 1538782131
Provider Name (Legal Business Name): SAXENA VIDEO PRODUCTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2020
Last Update Date: 05/19/2020
Certification Date: 05/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41301 US HIGHWAY 280
SYLACAUGA AL
35150-8046
US

IV. Provider business mailing address

455 HOLLAND LAKES DR N
PELHAM AL
35124-3972
US

V. Phone/Fax

Practice location:
  • Phone: 256-245-4104
  • Fax:
Mailing address:
  • Phone: 205-222-3372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANITA SAXENA
Title or Position: OWNER
Credential: OD
Phone: 205-222-3372