Provider Demographics
NPI:1003060567
Name:BUTLER OPTICAL CENTER, INC
Entity Type:Organization
Organization Name:BUTLER OPTICAL CENTER, INC
Other - Org Name:LIVINGSTON OPTICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:E
Authorized Official - Last Name:MARASCALCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-652-1199
Mailing Address - Street 1:P O EI
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:AL
Mailing Address - Zip Code:35470-0779
Mailing Address - Country:US
Mailing Address - Phone:205-652-1199
Mailing Address - Fax:205-652-1191
Practice Address - Street 1:117 S WASHINGTON AVENUE
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:AL
Practice Address - Zip Code:35470-0779
Practice Address - Country:US
Practice Address - Phone:205-652-1199
Practice Address - Fax:205-652-1191
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BUTLER OPTICAL CENTER, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies