Organization Name: | RAINBOW CITY FAMILY EYE CARE, LLC |
NPI Number: | 1912193798 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMANDA V WALL (OFFICE MANAGER) |
Mailing Address: | 115 W Grand Ave Suite 120 Rainbow City |
State: | AL US |
Postal Code: | 359063275 |
Phone Number: | 2564429350 |
Fax Number: | 2564429352 |
NPI Enumeration Date: | 09/14/2007 |
NPI Last Update Date: | 08/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | S-732-TA-108 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |