Healthcare Provider Details

I. General information

NPI: 1881915189
Provider Name (Legal Business Name): TOTAL EYE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2010
Last Update Date: 06/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5619 GROVE BLVD STE 109
BIRMINGHAM AL
35226-4604
US

IV. Provider business mailing address

428 POINCIANA DR
BIRMINGHAM AL
35209-4150
US

V. Phone/Fax

Practice location:
  • Phone: 205-871-8383
  • Fax:
Mailing address:
  • Phone: 205-871-8383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. KAREN MCDOWELL
Title or Position: DOCTOR
Credential: O.D.
Phone: 205-871-8383