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DR. CHARLES JEROME BELL OD
>> Optometrist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1891856043
Individual Registrant:DR. CHARLES JEROME BELL OD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
302 N ELM ST TUSKEGEE, AL 36083-1714 US
Tel: 334-727-6247 Fax: 334-725-1600
Tel: 334-727-6247 Fax: 334-725-1600
Contact information for business:
302 N ELM ST TUSKEGEE, AL 36083-1714 US
Tel: 334-727-6247 Fax: 334-725-1600
Tel: 334-727-6247 Fax: 334-725-1600
Registration Information:
NPI: 1891856043
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 152W00000X | Eye and Vision Services Providers Optometrist | AL | S546 - TA 112 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| CIGNA GOVERMENT SERVICES | 0447500001 | AL | 01 |
