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NPI Code Detail

MEDICARE: WENDY CUMMINGS P.C.

MEDICARE: WENDY CUMMINGS P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristS-A04-TA-552AL

General Provider Information

NPI Number : 1396072104
Entity Type Code : Organization
Provider Name (Legal Business Name) : WENDY CUMMINGS P.C.
Provider Business Mailing Address
First Line : 2643 HIGHWAY 280
Second Line :
City : ALEXANDER CITY
State : AL
Zip : 35010-3675
Country : US
Telephone Number : 256-234-5661
Fax Number :
Provider Business Practice Location Address
First Line : 2643 HIGHWAY 280
Second Line :
City : ALEXANDER CITY
State : AL
Zip : 35010-3675
Country : US
Telephone Number : 256-234-5661
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : WENDY CUMMINGS
Credential : O.D.
Telephone Number : 256-234-5661
Provider Enumeration Date : 11/16/2009
Last Update Date : 11/16/2009

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