Ayesha Kidd Senior Eyecare Service LLC
Organization Active NPI Optometrist · Mobile, AL
NPI 1487084612 · NPPES record last updated Apr 8, 2014
Key facts
- NPI
- 1487084612
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- S-C61-TA-904 (AL)
- Legal business name
- AYESHA KIDD SENIOR EYECARE SERVICE LLC
- Practice address
- 5700 Grelot Rd
Apt # 925
Mobile, AL 36609-3617 - Phone
- (205) 835-5024
- NPI assigned
- Nov 26, 2013
- Organization subpart
- No
Authorized official
- Name
- Ayesha Kidd
- Title
- Owner
- Phone
- (205) 835-5024
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | S-C61-TA-904 | AL | Yes |
Addresses
Primary practice location
5700 Grelot Rd
Apt # 925
Mobile, AL 36609-3617
Mailing address
5700 Grelot Rd
Apt # 925
Mobile, AL 36609-3617
Phone (205) 835-5024
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2014. 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.