Provider Demographics
NPI:1023038619
Name:ROSENSTIEL, CAROL E (OD)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:E
Last Name:ROSENSTIEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 59449
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35259-9449
Mailing Address - Country:US
Mailing Address - Phone:205-876-8988
Mailing Address - Fax:205-390-6460
Practice Address - Street 1:1720 UNIVERSITY BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1816
Practice Address - Country:US
Practice Address - Phone:205-876-8988
Practice Address - Fax:205-390-6460
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-656-TA-176207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALT69050OtherHEALTHSPRING OF ALABAMA
AL925497OtherBLOCK VISION
AL410039418OtherRAILROAD MEDICARE
AL000040650Medicaid
AL051040650OtherBLUE CROSS
AL410039418OtherRAILROAD MEDICARE