Basic Information
Provider Information
NPI: 1427167188
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COX
FirstName: RAMONA
MiddleName: C
NamePrefix: MS.
NameSuffix:  
Credential: OPTICIAN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 934
Address2:  
City: MONTGOMERY
State: AL
PostalCode: 361010934
CountryCode: US
TelephoneNumber: 3348342020
FaxNumber: 3348345367
Practice Location
Address1: 330 MADISON AVE
Address2:  
City: MONTGOMERY
State: AL
PostalCode: 361043628
CountryCode: US
TelephoneNumber: 3348342020
FaxNumber: 3348345367
Other Information
ProviderEnumerationDate: 08/29/2006
LastUpdateDate: 04/02/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
156FX1800X  Y Eye and Vision Services ProvidersTechnician/TechnologistOptician

No ID Information.


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