Provider Demographics
NPI:1215234398
Name:HUB CITY EYECARE INC
Entity type:Organization
Organization Name:HUB CITY EYECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:CIGALOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-945-2020
Mailing Address - Street 1:18465 HWY 104
Mailing Address - Street 2:SUITE D
Mailing Address - City:ROBERTSDALE
Mailing Address - State:AL
Mailing Address - Zip Code:36567-8725
Mailing Address - Country:US
Mailing Address - Phone:251-945-2020
Mailing Address - Fax:
Practice Address - Street 1:18465 HWY 104
Practice Address - Street 2:SUITE D
Practice Address - City:ROBERTSDALE
Practice Address - State:AL
Practice Address - Zip Code:36567-8725
Practice Address - Country:US
Practice Address - Phone:251-945-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALPENDINGMedicare Oscar/Certification