Provider Demographics
NPI:1568450195
Name:SKONEY, JAMES E (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:SKONEY
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:15933 CLAYTON RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-2172
Mailing Address - Country:US
Mailing Address - Phone:636-200-4393
Mailing Address - Fax:636-527-0766
Practice Address - Street 1:1825 TIN VALLEY CIR
Practice Address - Street 2:SUITE A
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3248
Practice Address - Country:US
Practice Address - Phone:205-661-2020
Practice Address - Fax:205-661-2010
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2016-11-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ALS480TA132152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T69066Medicare UPIN
AL1074080006Medicare NSC
AL30629Medicare PIN