Provider Demographics
NPI:1386667590
Name:SCHAEFFER EYE CENTER INC
Entity Type:Organization
Organization Name:SCHAEFFER EYE CENTER INC
Other - Org Name:SCHAEFFER EYE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
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:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35226-3321
Mailing Address - Country:US
Mailing Address - Phone:205-824-7171
Mailing Address - Fax:205-824-7179
Practice Address - Street 1:3428 OLD COLUMBIANA RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35226-3321
Practice Address - Country:US
Practice Address - Phone:205-824-7171
Practice Address - Fax:205-824-7179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier