Louis Ladon Snellgrove
Organization Active NPI Optometrist · Greenville, AL
NPI 1285812974 · NPPES record last updated Jul 8, 2008
Key facts
- NPI
- 1285812974
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- S183TA227 (AL)
- Legal business name
- LOUIS LADON SNELLGROVE
- Practice address
- 400 E Commerce St
Greenville, AL 36037-2312 - Phone
- (334) 382-5571
- Fax
- (334) 383-9101
- NPI assigned
- Feb 5, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Louis Ladon Snellgrove, OD
- Title
- Owner
- Phone
- (334) 382-5571
Practitioners 1
-
James Caleb Gardner, O.D.
National Provider Directory
Locations
400 E Commerce St
Greenville, AL 36037
Phone (334) 382-1522
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | S183TA227 | AL | Yes |
Addresses
Primary practice location
400 E Commerce St
Greenville, AL 36037-2312
Mailing address
PO Box 159
Greenville, AL 36037-0159
Phone (334) 382-5571
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000059295 | Medicaid | AL |
Other providers in Greenville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.