Healthcare Provider Details

I. General information

NPI: 1538005962
Provider Name (Legal Business Name): ANDREW D RENFROE OD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

258 INVERNESS CENTER DR
BIRMINGHAM AL
35242-4834
US

IV. Provider business mailing address

258 INVERNESS CENTER DR
BIRMINGHAM AL
35242-4834
US

V. Phone/Fax

Practice location:
  • Phone: 205-991-0020
  • Fax: 205-991-3177
Mailing address:
  • Phone: 205-991-0020
  • Fax: 205-991-3177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberS-F82-TA-E01
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: