Provider Demographics
NPI:1548395635
Name:EYECARE ASSOCIATES, INC.
Entity Type:Organization
Organization Name:EYECARE ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:P
Authorized Official - Last Name:DUVAL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:251-666-5060
Mailing Address - Street 1:4219 COTTAGE HILL RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-4216
Mailing Address - Country:US
Mailing Address - Phone:251-666-5060
Mailing Address - Fax:251-666-5789
Practice Address - Street 1:4219 COTTAGE HILL RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-4216
Practice Address - Country:US
Practice Address - Phone:636-200-4393
Practice Address - Fax:251-666-5789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS338TA250332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1074080010OtherMEDICARE NSC
AL1074080010Medicare NSC
ALG647Medicare PIN
AL1074080010OtherMEDICARE NSC