Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TYRUS AGEE, OD
Active Sole ProprietorDR. TYRUS AGEE, OD is a Optometrist healthcare provider located in FULTONDALE, Alabama. NPI 1689340564 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FULTONDALE, AL
Registration Details
- NPI Number
- 1689340564
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2021 (4.9439204958749 yrs)
- Last Updated
- Aug 19, 2021
- License
-
S-E91-TA-C39 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3477 LOWERY PKWY STE 137FULTONDALE, AL, 350681687Browse AL providers · Browse ZIP 35068
- Phone
- 2059462720
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in FULTONDALE, AL
| Name | Credential | NPI |
|---|---|---|
| VICTOR TRAN | — | 1639068570 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.