Provider Demographics
NPI:1730408840
Name:DOWNEY EYE CARE ALEXANDRIA
Entity type:Organization
Organization Name:DOWNEY EYE CARE ALEXANDRIA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:DOWNEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:256-820-5500
Mailing Address - Street 1:656 VALLEY CUB DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:AL
Mailing Address - Zip Code:36250-4200
Mailing Address - Country:US
Mailing Address - Phone:256-820-5500
Mailing Address - Fax:256-820-2046
Practice Address - Street 1:656 VALLEY CUB DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:AL
Practice Address - Zip Code:36250-4200
Practice Address - Country:US
Practice Address - Phone:256-820-5500
Practice Address - Fax:256-820-2046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-B70-TA-766152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty