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Dr Ronald Sealock
Eyewear Supplier in Dothan, Alabama
NPI 1063686863

Dr Ronald Sealock is a Eyewear Supplier based in Dothan, AL. Dr Ronald Sealock practices in Dothan, AL. The NPI Number for Dr Ronald Sealock is 1063686863 and holds a License No. S371TA081 (Alabama).

The current practice location address for Dr Ronald Sealock is 1623 W Main St, Dothan, AL and can be reached out via phone at 334-793-9607.

Location: 1623 W Main St, Dothan, AL, 36301-1315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063686863
Provider Name
Dr Ronald Sealock
Credential
Provider Entity Type
Organization
Address
1623 W Main St, Dothan, AL, 36301-1315
Phone Number
334-793-9607
Fax Number
Provider Enumeration Date
04/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000059644 05 AL
institution
Provider Business Practice Location Address Details
Address
1623 W Main St
City
Dothan
State
Alabama
Zip
36301-1315
Phone Number
334-793-9607
Fax Number
person
Provider Business Mailing Address Details
Address
1623 W Main St
City
Dothan
State
Alabama
Zip
36301-1315
Phone Number
334-793-9607
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
S371TA081 (Alabama)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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