Provider Demographics
NPI:1336856251
Name:MURATI, INGRID (OD)
Entity Type:Individual
Prefix:DR
First Name:INGRID
Middle Name:
Last Name:MURATI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1508 4TH AVE S APT 403
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1667
Mailing Address - Country:US
Mailing Address - Phone:256-200-0183
Mailing Address - Fax:
Practice Address - Street 1:1616 GADSDEN HWY STE 100
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3147
Practice Address - Country:US
Practice Address - Phone:205-508-6088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-F15152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist