Provider Demographics
NPI:1487635397
Name:FAMILY EYE CENTER, LLC
Entity Type:Organization
Organization Name:FAMILY EYE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:334-566-2020
Mailing Address - Street 1:PO BOX 728
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081-0728
Mailing Address - Country:US
Mailing Address - Phone:334-566-2020
Mailing Address - Fax:334-566-2035
Practice Address - Street 1:606 S GEORGE WALLACE DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081-3823
Practice Address - Country:US
Practice Address - Phone:334-566-2020
Practice Address - Fax:334-566-2035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-08
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL060156152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALCK 3144OtherRAILROAD MEDICARE
ALCK 3144OtherRAILROAD MEDICARE