Provider Demographics
NPI:1760654529
Name:DOWNEY EYECARE
Entity Type:Organization
Organization Name:DOWNEY EYECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:DOWNEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:205-763-2015
Mailing Address - Street 1:47795 US HIGHWAY 78
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:AL
Mailing Address - Zip Code:35096-6755
Mailing Address - Country:US
Mailing Address - Phone:205-763-2015
Mailing Address - Fax:205-763-7540
Practice Address - Street 1:47795 US HIGHWAY 78
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:AL
Practice Address - Zip Code:35096-6755
Practice Address - Country:US
Practice Address - Phone:205-763-2015
Practice Address - Fax:205-763-7540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-B70-TA-766152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty