Provider Demographics
NPI:1245236637
Name:ANDREWS, B FAYE
Entity Type:Individual
Prefix:DR
First Name:B
Middle Name:FAYE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9821 HIGHWAY 31
Mailing Address - Street 2:
Mailing Address - City:WARRIOR
Mailing Address - State:AL
Mailing Address - Zip Code:35180
Mailing Address - Country:US
Mailing Address - Phone:205-647-3937
Mailing Address - Fax:205-647-3934
Practice Address - Street 1:9821 HIGHWAY 31
Practice Address - Street 2:
Practice Address - City:WARRIOR
Practice Address - State:AL
Practice Address - Zip Code:35180
Practice Address - Country:US
Practice Address - Phone:205-647-3937
Practice Address - Fax:205-647-3934
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS721TA181152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000058392Medicaid
AL51058392OtherBLUE CROSS BLUE SHIELD
AL000058392Medicaid
AL0687030001Medicare NSC
AL51058392OtherBLUE CROSS BLUE SHIELD