| Day Optometry Clinic Pc | |
|
137 W Shugart Ridge Road, Gardendale, AL 35071-0947 | |
| (205) 631-5681 | |
| (205) 631-2479 |
| Full Name | Day Optometry Clinic Pc |
|---|---|
| Type | Facility |
| Speciality | Eyewear Supplier |
| Location | 137 W Shugart Ridge Road, Gardendale, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538204607 | NPI | - | NPPES |
| 528502260 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | S657 (Alabama) | Secondary |
| 152W00000X | Optometrist | S658 (Alabama) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
| Provider Name | Kennedy R Walker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851549976 PECOS PAC ID: 0042379240 Enrollment ID: I20081103000462 |
| Provider Name | Sharon Schnell Day |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457382343 PECOS PAC ID: 1658477385 Enrollment ID: I20110829000673 |
| Provider Name | Howard Russell Day |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104856681 PECOS PAC ID: 4385740018 Enrollment ID: I20110831000065 |
| Provider Name | Christopher Peyton Yarbrough |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396153524 PECOS PAC ID: 1153540604 Enrollment ID: I20140915001586 |
| Provider Name | Melanie A Lawrenc |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437553336 PECOS PAC ID: 8022339860 Enrollment ID: I20150605000858 |
| Provider Name | Amie M Marsh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265817902 PECOS PAC ID: 6800102922 Enrollment ID: I20161229000680 |
| Provider Name | Emily Cragon Moores |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366015869 PECOS PAC ID: 5193101731 Enrollment ID: I20221005000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Day Optometry Clinic Pc Po Box 947, Gardendale, AL 35071-0947 Ph: (205) 631-5681 | Day Optometry Clinic Pc 137 W Shugart Ridge Road, Gardendale, AL 35071-0947 Ph: (205) 631-5681 |