Provider Demographics
NPI:1235670761
Name:SCHAEFFER EYE CENTER, INC.
Entity Type:Organization
Organization Name:SCHAEFFER EYE CENTER, INC.
Other - Org Name:SCHAEFFER EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHAEFFER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:205-824-7171
Mailing Address - Street 1:3428 OLD COLUMBIANA RD
Mailing Address - Street 2:ATTN: CREDENTIALING DEPT.
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35226
Mailing Address - Country:US
Mailing Address - Phone:205-824-7171
Mailing Address - Fax:205-824-7179
Practice Address - Street 1:5510 U.S. HWY 280
Practice Address - Street 2:SUITE 213
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242
Practice Address - Country:US
Practice Address - Phone:205-824-7157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SCHAEFFER EYE CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty