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General NPI Number Information
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NPI Number | 1093996951
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Entity Type | Organization
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Legal Business Name | MONTGOMERY EYE PHYSICIANS P.C
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 8131 SEATON PL
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City | MONTGOMERY
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State | AL
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Zip | 36116-7205
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Country | US
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Telephone | 334-323-1889
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Fax | 334-270-3375
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Provider Business Mailing Address
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Address Line | 2752 ZELDA RD
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City | MONTGOMERY
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State | AL
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Zip | 36106-2694
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Country | US
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Telephone | 334-271-3804
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Fax | 334-270-3375
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Authorized Official
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Title or Position | CHIEF REVENUE OFFICER
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Name | CANDICE B DAVIS
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Credential |
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Telephone | 916-990-7590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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