Provider Demographics
NPI:1659552669
Name:FAMILY EYE CARE OF HELENA, P.C.
Entity Type:Organization
Organization Name:FAMILY EYE CARE OF HELENA, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHIFANELLA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:205-664-7577
Mailing Address - Street 1:5358A HIGHWAY 17
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-3604
Mailing Address - Country:US
Mailing Address - Phone:205-664-7577
Mailing Address - Fax:205-664-7654
Practice Address - Street 1:5358A HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AL
Practice Address - Zip Code:35080-3604
Practice Address - Country:US
Practice Address - Phone:205-664-7577
Practice Address - Fax:205-664-7654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-A44-TA-614152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL6272910001Medicare NSC
ALJ640Medicare PIN