Elise Debruler Agostinelli
Optometrist
1720 University Blvd
Birmingham
, Alabama 35233-1816
Elise Debruler Agostinelli
Optometrist
1720 University Blvd
Birmingham
, Alabama 35233-1816
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Elise Debruler Agostinelli
- 1720 University Blvd
- Birmingham, AL
- Zip : 35233-1816
- Phone :
Second Address
- Elise Debruler Agostinelli
- 1720 University Blvd
- Birmingham, AL
- Zip : 35233-1816
- Phone : (205) 488-0736
Reviews
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Is Elise Debruler Agostinelli a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S-E53-TA-B84 | AL |
National Provider Identifier
| NPI | 1013528579 |
|---|---|
| Provider Name | Elise Debruler Agostinelli |
| First Address | Birmingham, AL 35233-1816 |
| Second Address | Birmingham, AL 35233-1816 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2020 |
| Last Update Date | 28/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| S-E53-TA-B84 | (05) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.