Provider Demographics
NPI:1043834492
Name:AJS INDUSTRIES INC
Entity Type:Organization
Organization Name:AJS INDUSTRIES INC
Other - Org Name:DIXIE OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:UNDEREWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICAIN
Authorized Official - Phone:334-408-4083
Mailing Address - Street 1:3922 US HIGHWAY 80 W STE A
Mailing Address - Street 2:
Mailing Address - City:PHENIX CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36870-6514
Mailing Address - Country:US
Mailing Address - Phone:344-408-4083
Mailing Address - Fax:
Practice Address - Street 1:3922 US HIGHWAY 80 W STE A
Practice Address - Street 2:
Practice Address - City:PHENIX CITY
Practice Address - State:AL
Practice Address - Zip Code:36870-6514
Practice Address - Country:US
Practice Address - Phone:334-408-4083
Practice Address - Fax:334-408-4083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-02
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier