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General NPI Number Information
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NPI Number | 1679754659
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Entity Type | Organization
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Legal Business Name | DR. OPTICAL P.C.
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 5239 OLD SPRINGVILLE RD SUITE 103
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City | PINSON
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State | AL
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Zip | 35126-7607
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Country | US
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Telephone | 205-854-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 5239 OLD SPRINGVILLE RD SUITE 103
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City | PINSON
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State | AL
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Zip | 35126-7607
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Country | US
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Telephone | 205-854-6700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IRWIN HOWARD FINGERMAN
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Credential | O.D.
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Telephone | 205-854-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | S630TA251
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License Number State | AL
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