MEDICARE: EYECARE ASSOCIATES, INC.

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
1	332H00000X	Eyewear Supplier	S771TA142	AL

General Provider Information

NPI Number	:	1841325933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYECARE ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 207243
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75320-7255
Country	:	US
Telephone Number	:	636-200-4393
Fax Number	:	636-527-0766

Provider Business Practice Location Address
First Line	:	911 HARGROVE RD E
Second Line	:
City	:	TUSCALOOSA
State	:	AL
Zip	:	35405-1602
Country	:	US
Telephone Number	:	636-200-4393
Fax Number	:	205-554-7399

Authorized Official
Title or Position	:	CMO
Name	:	DR. JAME WACHTER
Credential	:	OD
Telephone Number	:	636-200-4393

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	07/09/2024

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