Healthcare Provider Details

I. General information

NPI: 1023038619
Provider Name (Legal Business Name): CAROL E ROSENSTIEL OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 UNIVERSITY BLVD STE 200
BIRMINGHAM AL
35233-1816
US

IV. Provider business mailing address

PO BOX 59449
BIRMINGHAM AL
35259-9449
US

V. Phone/Fax

Practice location:
  • Phone: 205-876-8988
  • Fax: 205-390-6460
Mailing address:
  • Phone: 205-876-8988
  • Fax: 205-390-6460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberS-656-TA-176
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: