Provider Demographics
NPI:1427943935
Name:SIMMONS, ISABELLA GRACE (OD)
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:GRACE
Last Name:SIMMONS
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 1:2010 PATTON CHAPEL RD STE 101
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35216-5783
Mailing Address - Country:US
Mailing Address - Phone:833-733-8742
Mailing Address - Fax:205-374-8529
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:833-733-8742
Practice Address - Fax:205-374-8529
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-F57152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist