| Columbiana Eye Care Inc | |
|
22767 Highway 25, Columbiana, AL 35051-3529 | |
| (205) 669-4131 | |
| Not Available |
| Full Name | Columbiana Eye Care Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 22767 Highway 25, Columbiana, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023446549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | S-C58-TA-896 (Alabama) | Primary |
| Provider Name | Johnna L Headley Blackerby |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730475682 PECOS PAC ID: 0244409514 Enrollment ID: I20110803000621 |
| Mailing Address | Practice Location Address |
|---|---|
| Columbiana Eye Care Inc 22767 Highway 25, Columbiana, AL 35051-3529 Ph: () - | Columbiana Eye Care Inc 22767 Highway 25, Columbiana, AL 35051-3529 Ph: (205) 669-4131 |
Stancil Handley O.d. Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 112 South Main Street, Columbiana, AL 35051 Phone: 205-669-4131 Fax: 205-669-4737 | |
Dr. Phillip Stancil Handley, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 112 South Main Street, Columbiana, AL 35051 Phone: 205-669-4131 Fax: 205-669-4737 | |
Ms. Johnna Leigh Headley Blackerby, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 22767 Highway 25, Columbiana, AL 35051 Phone: 205-669-4131 |