Provider Demographics
NPI:1245203744
Name:JARBOE, AIMEE POIRIER (OD)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:POIRIER
Last Name:JARBOE
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 1:5358 HIGHWAY 17
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-3604
Mailing Address - Country:US
Mailing Address - Phone:205-664-7577
Mailing Address - Fax:
Practice Address - Street 1:5358 HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AL
Practice Address - Zip Code:35080-3604
Practice Address - Country:US
Practice Address - Phone:205-985-7612
Practice Address - Fax:205-985-5405
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-947-TA514152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU66987Medicare UPIN
AL51516803Medicare ID - Type Unspecified