Dr Charles J Brazeal Pc

LBN: Dr Charles J Brazeal Pc
Dr Charles J Brazeal Pc is an health care organization with primary practice located at 2005 30Th St , Valley AL 36854-3012. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dr Charles J Brazeal Pc can be contacted via phone (334) 768-7203, or through Norton, Dawn via phone (334) 863-2221.

Contact Information

Primary practice address
2005 30Th St Valley AL 36854-3012
Phone: (334) 768-7203
Fax: (334) 768-3550
Website:
Map and Directions
Authorized official contact:
Name: Norton, Dawn
Phone: (334) 863-2221

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X S407TA017 Alabama

Profile Details

NPI number 1316097371
LBN Legal business name Dr Charles J Brazeal Pc
DBA Doing business as
Authorized official Norton, Dawn
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated Mar 14th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316097371 NPPES
Alabama MEDICAID 126300

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