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CHESTER THOMAS CROOKS

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1073505657

Individual Registrant:
 CHESTER THOMAS CROOKS 
Gender: M

Location and contact information for practice:
3099 ALLISON BONNETT MEMORIAL DR  HUEYTOWN, AL 35023-2261 US
Tel: 205-491-8755  Fax: 205-491-8757

Contact information for business:
1 PERIMETER PARK S SUITE 155 SO BIRMINGHAM, AL 35243-2327 US
Tel: 205-968-9196  Fax: 205-968-9198

Registration Information:
NPI: 1073505657
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
ALS427TA024

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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