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DARLENE WISE OPTICIAN
Optician >> Technician/Technologist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1205919156
Individual Registrant: DARLENE WISE OPTICIAN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
221 N DALEVILLE AVE DALEVILLE, AL 36322-2015 US
Tel: 334-598-4870 Fax: --
Tel: 334-598-4870 Fax: --
Contact information for business:
221 NORTH DALEVILLE AVE. DALEVILLE, AL 36322-2015 US
Tel: 334-598-4870 Fax: --
Tel: 334-598-4870 Fax: --
Registration Information:
NPI: 1205919156
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 156FX1800X | Eye and Vision Services Providers Technician/Technologist Optician |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
