Provider Demographics
NPI:1831154327
Name:OPHTHALMOLOGY ASSOC P.C.
Entity type:Organization
Organization Name:OPHTHALMOLOGY ASSOC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:O
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-591-2311
Mailing Address - Street 1:840 MONTCLAIR RD
Mailing Address - Street 2:SUITE 722
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35213-1948
Mailing Address - Country:US
Mailing Address - Phone:205-591-2311
Mailing Address - Fax:205-592-3531
Practice Address - Street 1:840 MONTCLAIR RD
Practice Address - Street 2:SUITE 722
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213-1948
Practice Address - Country:US
Practice Address - Phone:205-591-2311
Practice Address - Fax:205-592-3531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00004237173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALCM6764Medicare PIN
ALD806Medicare PIN
AL0576640001Medicare NSC