MEDICARE: ALABAMA EYE & CATARACT CENTER PC

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	174400000X	Specialist		AL

General Provider Information

NPI Number	:	1275536385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALABAMA EYE & CATARACT CENTER PC

Provider Business Mailing Address
First Line	:	1201 11TH AVE S
Second Line	:	STE 501
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-3423
Country	:	US
Telephone Number	:	205-930-0930
Fax Number	:	205-930-9050

Provider Business Practice Location Address
First Line	:	1201 11TH AVE S
Second Line	:	STE 501
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-3423
Country	:	US
Telephone Number	:	205-930-0930
Fax Number	:	205-930-9050

Authorized Official
Title or Position	:	OPHTHALMOLOGIST
Name	:	JENNIFER LEIGH MICHELSON
Credential	:	MD
Telephone Number	:	205-930-0930

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	03/05/2024

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