Healthcare Provider Details

I. General information

NPI: 1831154327
Provider Name (Legal Business Name): OPHTHALMOLOGY ASSOC P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 09/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 MONTCLAIR RD SUITE 722
BIRMINGHAM AL
35213-1948
US

IV. Provider business mailing address

840 MONTCLAIR RD SUITE 722
BIRMINGHAM AL
35213-1948
US

V. Phone/Fax

Practice location:
  • Phone: 205-591-2311
  • Fax: 205-592-3531
Mailing address:
  • Phone: 205-591-2311
  • Fax: 205-592-3531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number00004237
License Number StateAL

VIII. Authorized Official

Name: DR. JAMES O. POWELL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 205-591-2311