Provider Demographics
NPI:1073625489
Name:FUHR, PATTI SUE (OD, PHD)
Entity Type:Individual
Prefix:DR
First Name:PATTI
Middle Name:SUE
Last Name:FUHR
Suffix:
Gender:F
Credentials:OD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5720 11TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35222-4136
Mailing Address - Country:US
Mailing Address - Phone:205-591-8165
Mailing Address - Fax:205-558-7060
Practice Address - Street 1:700 SOUTH 19TH STREET (112-C)
Practice Address - Street 2:BIRMINGHAM VAMC
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233
Practice Address - Country:US
Practice Address - Phone:205-933-8101
Practice Address - Fax:205-558-7060
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-667-TA-038152WL0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation