Whalio Doctors

NPI 1740261601

Ernest Jonathan Champion, OD

Practitioner Optometrist Alexander City, AL

Practice location

Address
1120 Airport Dr STE 104, Alexander City, AL 35010-3436
Phone
(256) 329-8400
Fax
(256) 329-8200

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence S-908 TA 463 (AL)

Registry record

NPI
1740261601
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Nov 2005
Record last updated
29 Aug 2007

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.