Provider Demographics
NPI:1720258791
Name:ALABAMA FAMILY EYE CARE
Entity Type:Organization
Organization Name:ALABAMA FAMILY EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CURL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:205-733-0507
Mailing Address - Street 1:2321 JOHN HAWKINS PKWY
Mailing Address - Street 2:SUITE 125
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-3540
Mailing Address - Country:US
Mailing Address - Phone:205-733-0507
Mailing Address - Fax:205-733-8281
Practice Address - Street 1:2321 JOHN HAWKINS PKWY
Practice Address - Street 2:SUITE 125
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-3540
Practice Address - Country:US
Practice Address - Phone:205-733-0507
Practice Address - Fax:205-733-8281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS883-TA464152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU96734Medicare UPIN
ALU75263Medicare UPIN