Judy Samattasribootr O.D.

NPI 1609187079 - Optometrist - 152W00000X

NPI Details
NPI 1609187079
Gender Female
Enumeration Date 06/30/2010
Last Updated 06/30/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1716 UNIVERSITY BOULEVARD
HPB G080A
BIRMINGHAM AL, 35294-0010, US
Phone (205) 975-2020
Fax (205) 934-6755
Business Location
1716 UNIVERSITY BOULEVARD
HPB G080A
BIRMINGHAM AL, 35294-0010, US
Phone (205) 975-2020
Fax (205) 934-6755
Toxanomy
Taxonomy Code 152W00000X
License State Alabama
License Number T-200-TA-847
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According to our database, Dr. Judy Samattasribootr O.D. NPI is 1609187079, taxonomy code is 152W00000X and license number is T-200-TA-847, license state is located at Alabama. Judy Samattasribootr O.D. physically located at 1716 University Boulevard, Birmingham AL, 35294-0010. NPI Number Judy Samattasribootr O.D. has the Individual type.

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1609187079 NPI number is provided on an as is basis without warranty of any kind. 1609187079 is maintained by the National Plan & Provider Enumeration System. The contents of Judy Samattasribootr O.D. are for informational purposes only.