Provider Demographics
NPI:1205939485
Name:WEBB, HEATHER MCCALL (OD)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:MCCALL
Last Name:WEBB
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:700 OLD CAHABA DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-7043
Mailing Address - Country:US
Mailing Address - Phone:205-621-0164
Mailing Address - Fax:
Practice Address - Street 1:630 COLONIAL PROMENADE PKWY
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-3111
Practice Address - Country:US
Practice Address - Phone:205-663-2169
Practice Address - Fax:205-663-2217
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-837 TA-362152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51529924OtherBCBS OF AL
ALU71101Medicare UPIN