Maddox, Velvet Jeter
Maddox, Velvet Jeter is an sole proprietor health care provider with primary practice located at 607-C Boll Weevil Circle , Enterprise AL 36330. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Maddox, Velvet Jeter can be contacted via phone (334) 347-6599.Contact Information
Primary practice address
607-C Boll Weevil Circle
Enterprise AL 36330
Phone: (334) 347-6599
Fax: (334) 347-6599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ALS-686TA163 | Alabama |
Profile Details
| NPI number | 1346335833 |
|---|---|
| LBN Legal business name | Maddox, Velvet Jeter |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 22nd, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346335833 | NPPES |
| Alabama | MEDICAID | 000058532 |
Popular Providers
-
Brudner, Peter N.
425 W Central Ave , Lompoc CA 93436-2805 -
Roth, Reed T
28370 Kensington Ln Suite A, Perrysburg OH 43551-4163 -
Fenn, Richard Foy
600 Boll Weevil Cir Wal-Mart Vison Center 734, Enterprise AL 36330-2715 -
Chisum, Charlene Dobbs
207 S Main St , Enterprise AL 36330-2544 -
Woods, Lorie C
812 E Lee St , Enterprise AL 36330-2011 -
Smith, Kelly A
607 Boll Weevil Cir Ste C , Enterprise AL 36330-2733 -
Varley, Richard W
508 W Chickasha Ave , Chickasha OK 73018-2412 -
Devore, Douglas W
820 E Lee St , Enterprise AL 36330-2011