Provider Demographics
NPI:1578764262
Name:EYE MEDICAL CENTER
Entity Type:Organization
Organization Name:EYE MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPHTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:ZARZAUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-870-3937
Mailing Address - Street 1:2000 CAHABA RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35223-1110
Mailing Address - Country:US
Mailing Address - Phone:205-870-3937
Mailing Address - Fax:205-870-3932
Practice Address - Street 1:2000 CAHABA RD
Practice Address - Street 2:SUITE 100
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35223-1110
Practice Address - Country:US
Practice Address - Phone:205-870-3937
Practice Address - Fax:205-870-3932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5659207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL=========Medicare ID - Type Unspecified