MEDICARE: DR. JULIA H GANNON OD

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	S708TA316	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	51502838	OTHER	AL	BCBS

General Provider Information

NPI Number	:	1760478226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIA H GANNON OD

Provider Business Mailing Address
First Line	:	1201 11TH AVE S
Second Line	:	SUITE 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	:	SUITE 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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	10/18/2017

Similar Medicare Providers

1720081961 — DR. MARC ALAN MICHELSON M.D.
Practice Location Address:

1201 11TH AVE S , STE 501
BIRMINGHAM, AL
35205-3423

Practice Phone: 205-930-0930
Practice Fax: 205-930-9050

1275536385 — ALABAMA EYE & CATARACT CENTER PC
Practice Location Address:

1201 11TH AVE S , STE 501
BIRMINGHAM, AL
35205-3423

Practice Phone: 205-930-0930
Practice Fax: 205-930-9050

1326043944 — GARY D EVANS CRNA
Practice Location Address:

1201 11TH AVE S
BIRMINGHAM, AL
35205-3423

Practice Phone: 205-930-7296
Practice Fax: 205-930-7256

1609860311 — CATHERINE ROMINE MURPHY O.D.
Practice Location Address:

1201 11TH AVE S , SUITE 501
BIRMINGHAM, AL
35205-3423

Practice Phone: 205-930-0930
Practice Fax: 205-930-9050

1174519201 — TERRY A AKERS CRNA
Practice Location Address:

1201 11TH AVE S
BIRMINGHAM, AL
35205-3423

Practice Phone: 205-930-7296
Practice Fax: 205-930-7256

1417943473 — MS. CYNTHIA F DILLARD CRNA
Practice Location Address:

1201 11TH AVE S
BIRMINGHAM, AL
35205-3423

Practice Phone: 205-930-7296
Practice Fax: 205-930-7256

Directions to “ DR. JULIA H GANNON OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.