MEDICARE: ANITA SAXENA O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	S-B39	AL

General Provider Information

NPI Number	:	1053429365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANITA SAXENA O.D.

Provider Business Mailing Address
First Line	:	P.O. BOX 830941, MSC 559
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35283
Country	:	US
Telephone Number	:	205-325-8536
Fax Number	:	205-325-8270

Provider Business Practice Location Address
First Line	:	2801 OLD 280 CT.
Second Line	:
City	:	VESTAVIA HILLS
State	:	AL
Zip	:	35243
Country	:	US
Telephone Number	:	205-325-8620
Fax Number	:	205-325-8547

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2006
Last Update Date	:	11/11/2016

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Directions to “ ANITA SAXENA O.D.” Practice Location

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