Provider Demographics
NPI:1659833432
Name:LOOK BALDWIN VISION LLC
Entity Type:Organization
Organization Name:LOOK BALDWIN VISION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPANY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:HANKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-706-7960
Mailing Address - Street 1:1651 SCHILLINGER RD N
Mailing Address - Street 2:
Mailing Address - City:SEMMES
Mailing Address - State:AL
Mailing Address - Zip Code:36575-7409
Mailing Address - Country:US
Mailing Address - Phone:251-706-7960
Mailing Address - Fax:251-375-0444
Practice Address - Street 1:4751 MAIN ST STE F217
Practice Address - Street 2:
Practice Address - City:ORANGE BEACH
Practice Address - State:AL
Practice Address - Zip Code:36561-5862
Practice Address - Country:US
Practice Address - Phone:251-213-2077
Practice Address - Fax:251-375-0444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-02
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty