Provider Demographics
NPI:1003269622
Name:COKER, ALANA K (OD)
Entity Type:Individual
Prefix:
First Name:ALANA
Middle Name:K
Last Name:COKER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4030 BALMORAL DR SW STE A
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6402
Mailing Address - Country:US
Mailing Address - Phone:256-801-0099
Mailing Address - Fax:256-533-1369
Practice Address - Street 1:4030 BALMORAL DR SW STE A
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801
Practice Address - Country:US
Practice Address - Phone:256-801-0099
Practice Address - Fax:256-533-1369
Is Sole Proprietor?:No
Enumeration Date:2016-07-19
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-D60-TA-A47152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL512-11263OtherBLUE CROSS