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DR. AUBREY ALAN ODOM O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1295803195

Individual Registrant:
DR. AUBREY ALAN ODOM O.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
109 S MAIN ST  EVERGREEN, AL 36401-3320 US
Tel: 251-578-2922  Fax: 251-578-2952

Contact information for business:
109 S MAIN ST  EVERGREEN, AL 36401-3320 US
Tel: 251-578-2922  Fax: 251-578-2952

Registration Information:
NPI: 1295803195
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
ALS-860-TA-413

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
000034940AL05




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