Healthcare Provider Details

I. General information

NPI: 1447329958
Provider Name (Legal Business Name): VISIONFIRST EYE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 08/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3240 EDWARDS LAKE PKWY SUITE 100
BIRMINGHAM AL
35235-3117
US

IV. Provider business mailing address

3240 EDWARDS LAKE PKWY SUITE 100
BIRMINGHAM AL
35235-3117
US

V. Phone/Fax

Practice location:
  • Phone: 205-949-2020
  • Fax: 205-949-1400
Mailing address:
  • Phone: 205-949-2020
  • Fax: 205-949-1400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: MARK GREGORY BEARMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 205-949-2020