=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487738282
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GENE DENNY AND CO INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/25/2006
-----------------------------------------------------
Last Update Date | 12/27/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4606 HIGHWAY 280 SUITE 116
-----------------------------------------------------
City | BIRMINGHAM
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35242-8126
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-437-1280
-----------------------------------------------------
Fax | 205-437-8105
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4606 HIGHWAY 280 SUITE 116
-----------------------------------------------------
City | BIRMINGHAM
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35242-8126
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-437-1280
-----------------------------------------------------
Fax | 205-437-8105
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/FRANCHISE OWNER
-----------------------------------------------------
Name | MR. GENE DENNY JR.
-----------------------------------------------------
Credential | OWNER/OPTICIAN
-----------------------------------------------------
Telephone | 205-437-1280
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332H00000X
-----------------------------------------------------
Taxonomy Name | Eyewear Supplier
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------