Provider Demographics
NPI:1174783542
Name:STEELE OPTOMETRIC ASSOCIATES
Entity type:Organization
Organization Name:STEELE OPTOMETRIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GLASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-678-2565
Mailing Address - Street 1:300 FOOTHILLS PLACE
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:AL
Mailing Address - Zip Code:35043-8208
Mailing Address - Country:US
Mailing Address - Phone:205-678-2565
Mailing Address - Fax:205-678-3780
Practice Address - Street 1:300 FOOTHILLS PLACE
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:AL
Practice Address - Zip Code:35043-8208
Practice Address - Country:US
Practice Address - Phone:205-678-2565
Practice Address - Fax:205-678-3780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALSA57TA650152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty