NPI 1063686863

Dr Ronald Sealock

Organisation Eyewear Supplier Dothan, AL

Practice location

Address: 1623 W Main St, Dothan, AL 36301-1315
Phone: (334) 793-9607

Authorised official

Name: Ronald H Sealock
Title: Owner
Phone: (334) 793-9607

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence S371TA081 (AL)

Other Eyewear Supplier providers in Alabama →

Registry record

NPI: 1063686863
Entity type: Organization
NPI issued: 14 Apr 2008
Record last updated: 13 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.