NPI 1003508797

Taylor Grace Tackett, DOCTOROFOPTOMETRY

Practitioner Optometrist Russellville, AL

Practice location

Address: 14378 Highway 43, Russellville, AL 35653-2568
Phone: (256) 332-1355
Mailing address: 7087 Highway 524, Russellville, AL 35653-6552

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence S-F21 (AL)

Other Optometrist providers in Alabama →

Registry record

NPI: 1003508797
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 May 2023
Record last updated: 7 Jun 2023

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.