NPI 1033250964

Rose M Betz, OD

Practitioner Optometrist Northport, AL

Practice location

Address: 801 Applejack Blvd, Northport, AL 35473-3401
Phone: (205) 333-0016
Fax: (205) 339-6751
Mailing address: 15933 Clayton Rd Suite 201, Ballwin, MO 63011-2172

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence S470TA104 (AL)

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Registry record

NPI: 1033250964
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Feb 2007
Record last updated: 15 Nov 2016

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.