Provider Demographics
NPI:1033279773
Name:CHEAHA EYE ASSOCIATES, P.C.--INVERNESS
Entity Type:Organization
Organization Name:CHEAHA EYE ASSOCIATES, P.C.--INVERNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PICKRELL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:205-913-8747
Mailing Address - Street 1:PO BOX 203
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35201-0203
Mailing Address - Country:US
Mailing Address - Phone:205-913-8747
Mailing Address - Fax:
Practice Address - Street 1:5335 HIGHWAY 280
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-5317
Practice Address - Country:US
Practice Address - Phone:205-980-0841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty