Provider Demographics
NPI:1922736651
Name:PERSPECTIVE EYE CARE AND EYE WEAR LLC
Entity Type:Organization
Organization Name:PERSPECTIVE EYE CARE AND EYE WEAR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KELSIE
Authorized Official - Middle Name:MORGAN
Authorized Official - Last Name:GRAFFAGNINO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:256-347-0158
Mailing Address - Street 1:4468 DOLLY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-4177
Mailing Address - Country:US
Mailing Address - Phone:256-347-0158
Mailing Address - Fax:
Practice Address - Street 1:421 3RD AVE SE
Practice Address - Street 2:SUITE 140
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-4315
Practice Address - Country:US
Practice Address - Phone:256-692-1464
Practice Address - Fax:256-692-1466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-10
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty