Healthcare Provider Details

I. General information

NPI: 1619923745
Provider Name (Legal Business Name): EYE HEALTH PARTNERS OF ALABAMA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 STATE FARM PKWY
BIRMINGHAM AL
35209-7181
US

IV. Provider business mailing address

PO BOX 415000 MSC 8290 EHPA
NASHVILLE TN
37241-5000
US

V. Phone/Fax

Practice location:
  • Phone: 205-943-4600
  • Fax: 205-943-4688
Mailing address:
  • Phone: 205-943-4600
  • Fax: 256-459-7963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: AMY BURTON
Title or Position: CREDENTIALING
Credential:
Phone: 434-661-7762