Provider Demographics
NPI:1336686823
Name:SHELBY FAMILY EYE CARE, LLC
Entity Type:Organization
Organization Name:SHELBY FAMILY EYE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HECKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:205-624-2500
Mailing Address - Street 1:1136 1ST ST N
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8771
Mailing Address - Country:US
Mailing Address - Phone:205-624-2500
Mailing Address - Fax:205-624-2502
Practice Address - Street 1:1136 1ST ST N
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8771
Practice Address - Country:US
Practice Address - Phone:205-624-2500
Practice Address - Fax:205-624-2502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-23
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALSC30TA852152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty