Healthcare Provider Details

I. General information

NPI: 1356762454
Provider Name (Legal Business Name): SARRELL DENTAL AND EYE CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2013
Last Update Date: 12/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 SOUTH ST E
TALLADEGA AL
35160-2621
US

IV. Provider business mailing address

230 E 10TH ST SUITE 106
ANNISTON AL
36207-5784
US

V. Phone/Fax

Practice location:
  • Phone: 256-741-7340
  • Fax: 256-741-7373
Mailing address:
  • Phone: 256-741-7340
  • Fax: 256-741-7373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CATHERINE H CHAPPELL
Title or Position: OPTICAL MANAGER
Credential:
Phone: 256-741-7340