Basic Information
| Provider Information | |||||||||
| NPI: | 1003011073 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COX | ||||||||
| FirstName: | HOBSON | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | OPTICIAN | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 834 | ||||||||
| Address2: | |||||||||
| City: | UNION SPRINGS | ||||||||
| State: | AL | ||||||||
| PostalCode: | 360890834 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3348342020 | ||||||||
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| Practice Location | |||||||||
| Address1: | 304 PRAIRIE ST N | ||||||||
| Address2: | |||||||||
| City: | UNION SPRINGS | ||||||||
| State: | AL | ||||||||
| PostalCode: | 360891417 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3347383937 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/19/2007 | ||||||||
| LastUpdateDate: | 06/15/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 156FX1800X | Y | Eye and Vision Services Providers | Technician/Technologist | Optician |
No ID Information.