Provider Demographics
NPI:1467877803
Name:SAINT KABIR INC
Entity Type:Organization
Organization Name:SAINT KABIR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JANAKKUMAR
Authorized Official - Middle Name:VIJAYKUMAR
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:256-458-8118
Mailing Address - Street 1:111 JOHN AVE SE
Mailing Address - Street 2:
Mailing Address - City:ATTALLA
Mailing Address - State:AL
Mailing Address - Zip Code:35954-3464
Mailing Address - Country:US
Mailing Address - Phone:256-458-8118
Mailing Address - Fax:256-538-5662
Practice Address - Street 1:111 JOHN AVE SE
Practice Address - Street 2:
Practice Address - City:ATTALLA
Practice Address - State:AL
Practice Address - Zip Code:35954-3464
Practice Address - Country:US
Practice Address - Phone:256-458-8118
Practice Address - Fax:256-538-5662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-21
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-D16-TA-964152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty