Healthcare Provider Details

I. General information

NPI: 1942124276
Provider Name (Legal Business Name): MALIA HARVEY OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 20TH AVE
VALLEY AL
36854-3206
US

IV. Provider business mailing address

1704 STONE POINTE DR
AUBURN AL
36830-2566
US

V. Phone/Fax

Practice location:
  • Phone: 334-768-2129
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberS-F84-TA-E07
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: