Provider Demographics
NPI:1346758778
Name:MCCURDY FAMILY EYE CARE
Entity Type:Organization
Organization Name:MCCURDY FAMILY EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCURDY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:205-240-0700
Mailing Address - Street 1:5634 PAWNEE CIR
Mailing Address - Street 2:
Mailing Address - City:GUNTERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35976-2844
Mailing Address - Country:US
Mailing Address - Phone:205-240-0700
Mailing Address - Fax:
Practice Address - Street 1:2750 CARL T JONES DR SE STE 7
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-4914
Practice Address - Country:US
Practice Address - Phone:256-880-5148
Practice Address - Fax:256-880-1342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1790743482OtherINDIVIDUAL