Healthcare Provider Details

I. General information

NPI: 1629118286
Provider Name (Legal Business Name): VISIONFIRST EYE CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 01/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3240 EDWARDS LAKE PKWY SUITE 100
BIRMINGHAM AL
35235-3117
US

IV. Provider business mailing address

3240 EDWARDS LAKE PKWY SUITE 100
BIRMINGHAM AL
35235-3117
US

V. Phone/Fax

Practice location:
  • Phone: 205-949-2020
  • Fax: 205-949-1400
Mailing address:
  • Phone: 205-949-2020
  • Fax: 205-949-1400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: MARK G BEARMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 205-949-2020