Provider Demographics
NPI:1336124015
Name:MASON, JOHN O III (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:O
Last Name:MASON
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:700 18TH ST S
Mailing Address - Street 2:SUITE 707
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1856
Mailing Address - Country:US
Mailing Address - Phone:205-329-7100
Mailing Address - Fax:205-329-7101
Practice Address - Street 1:700 18TH ST S
Practice Address - Street 2:SUITE 707
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1856
Practice Address - Country:US
Practice Address - Phone:205-329-7100
Practice Address - Fax:205-329-7101
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2010-06-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL15867207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0810038OtherUNITED HEALTH CARE
AL33686OtherBLUE CROSS
ALE87613OtherHEALTH SPRING
AL780025389OtherRAILROAD MEDICARE
AL529423900Medicaid
ALE87613Medicare UPIN
AL000033686Medicare ID - Type Unspecified