Provider Demographics
NPI:1932136355
Name:READY, EDGAR LOWNDES IV (MD)
Entity Type:Individual
Prefix:
First Name:EDGAR
Middle Name:LOWNDES
Last Name:READY
Suffix:IV
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 1:401 MERIDIAN ST N
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4720
Mailing Address - Country:US
Mailing Address - Phone:256-539-8851
Mailing Address - Fax:256-534-7203
Practice Address - Street 1:401 MERIDIAN ST N
Practice Address - Street 2:SUITE 400
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4720
Practice Address - Country:US
Practice Address - Phone:256-539-8851
Practice Address - Fax:256-534-7203
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL24301207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009935934Medicaid
ALI04830Medicare UPIN
AL009935934Medicaid