Provider Demographics
NPI:1821054511
Name:LEWIS, JAMES MORRIS (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:MORRIS
Last Name:LEWIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 5TH AVE NO
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35203
Mailing Address - Country:US
Mailing Address - Phone:205-326-3800
Mailing Address - Fax:205-326-3021
Practice Address - Street 1:1704 5TH AVE NO
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203
Practice Address - Country:US
Practice Address - Phone:205-326-3800
Practice Address - Fax:205-326-3021
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9233207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C75209Medicare UPIN