Provider Demographics
NPI:1558546358
Name:BIRMINGHAM EYE CENTER
Entity Type:Organization
Organization Name:BIRMINGHAM EYE CENTER
Other - Org Name:JOHN SASSER OPTICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSURANCE ADMIN
Authorized Official - Prefix:MS
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:VINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-979-4730
Mailing Address - Street 1:840 MONTCLAIR RD
Mailing Address - Street 2:STE 408
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35213-1920
Mailing Address - Country:US
Mailing Address - Phone:205-979-4730
Mailing Address - Fax:205-979-4680
Practice Address - Street 1:840 MONTCLAIR RD
Practice Address - Street 2:STE 408
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213-1920
Practice Address - Country:US
Practice Address - Phone:205-979-4730
Practice Address - Fax:205-979-4680
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIRMINGHAM EYE CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-31
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier