Provider Demographics
NPI:1679752620
Name:HARRIETT B FOSHEE DR.
Entity type:Organization
Organization Name:HARRIETT B FOSHEE DR.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JONE
Authorized Official - Middle Name:REBECCA
Authorized Official - Last Name:BOGGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-382-3691
Mailing Address - Street 1:122 W COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36037-2216
Mailing Address - Country:US
Mailing Address - Phone:334-382-3691
Mailing Address - Fax:334-382-0289
Practice Address - Street 1:122 W COMMERCE ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:AL
Practice Address - Zip Code:36037-2216
Practice Address - Country:US
Practice Address - Phone:334-382-3691
Practice Address - Fax:334-382-0289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51058262OtherBLUE CROSS BLUE SHIELD
ALH092Medicare PIN
AL0159720001Medicare NSC