Healthcare Provider Details

I. General information

NPI: 1275536385
Provider Name (Legal Business Name): ALABAMA EYE & CATARACT CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 03/05/2024
Certification Date: 03/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 11TH AVE S STE 501
BIRMINGHAM AL
35205-3423
US

IV. Provider business mailing address

1201 11TH AVE S STE 501
BIRMINGHAM AL
35205-3423
US

V. Phone/Fax

Practice location:
  • Phone: 205-930-0930
  • Fax: 205-930-9050
Mailing address:
  • Phone: 205-930-0930
  • Fax: 205-930-9050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateAL

VIII. Authorized Official

Name: JENNIFER LEIGH MICHELSON
Title or Position: OPHTHALMOLOGIST
Credential: MD
Phone: 205-930-0930