MEDICARE: MATTHEWS VISION CENTER, INC.

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	332B00000X	Durable Medical Equipment & Medical Supplies	688-257	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

General Provider Information

NPI Number	:	1881874964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATTHEWS VISION CENTER, INC.

Provider Business Mailing Address
First Line	:	2014 MORRIS AVE
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35203-4108
Country	:	US
Telephone Number	:	205-328-1744
Fax Number	:	205-328-4270

Provider Business Practice Location Address
First Line	:	2014 MORRIS AVE
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35203-4108
Country	:	US
Telephone Number	:	205-328-1744
Fax Number	:	205-328-4270

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. MIA RANSOM PARNELL
Credential	:
Telephone Number	:	205-328-1744

Provider Enumeration Date	:	11/06/2007
Last Update Date	:	08/24/2010

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