Ultra Eyecare

NPI 1710920475 - Optometrist - 152WC0802X

NPI Details
NPI 1710920475
Enumeration Date 06/13/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ALAN ALAN
Position OWNER/OPTHALMOLOGY
Phone (901) 458-4475
Fax (901) 458-9854
Practice Location
3460 PLAZA AVE
MEMPHIS TN, 38111-4614, US
Phone (901) 458-4475
Fax (901) 458-9854
Business Location
3460 PLAZA AVE
MEMPHIS TN, 38111, US
Phone (901) 458-4475
Fax (901) 458-9854
Toxanomy
Taxonomy Code 152WC0802X
License State Mississippi
License Number 14992
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According to our database, Ultra Eyecare NPI is 1710920475, taxonomy code is 152WC0802X and license number is 14992, license state is located at Mississippi. Ultra Eyecare physically located at 3460 Plaza Ave, Memphis TN, 38111-4614. NPI Number 1033115704 has the healthcare provider type.

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1710920475 NPI number is provided on an as is basis without warranty of any kind. 1710920475 is maintained by the National Plan & Provider Enumeration System. The contents of Ultra Eyecare are for informational purposes only.