Provider Demographics
NPI:1982706396
Name:THE EYECARE PLACE
Entity type:Organization
Organization Name:THE EYECARE PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:205-781-5995
Mailing Address - Street 1:5011 GARY AVE.
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35064
Mailing Address - Country:US
Mailing Address - Phone:205-781-5995
Mailing Address - Fax:
Practice Address - Street 1:5011 GARY AVE.
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:AL
Practice Address - Zip Code:35064
Practice Address - Country:US
Practice Address - Phone:205-781-5995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Not Answered156F00000XEye and Vision Services ProvidersTechnician/TechnologistGroup - Multi-Specialty