NPI 1104222934
Marvelous Eyes, LLC
Practice location
- Address
- 419 John Henry Way STE C, Madison, AL 35757-9608
- Phone
- (256) 325-9175
Authorised official
- Name
- Kelly P Shaw
- Title
- President
- Phone
- (205) 683-3232
Registered specialties
Optician
Primary
Registry record
- NPI
- 1104222934
- Entity type
- Organization
- NPI issued
- 5 Nov 2014
- Record last updated
- 2 Nov 2021
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.