Healthcare Provider Details

I. General information

NPI: 1962713222
Provider Name (Legal Business Name): EYE FOUNDATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2010
Last Update Date: 02/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 UNIVERSITY BLVD
BIRMINGHAM AL
35233-1816
US

IV. Provider business mailing address

1720 UNIVERSITY BLVD
BIRMINGHAM AL
35233-1816
US

V. Phone/Fax

Practice location:
  • Phone: 205-325-8100
  • Fax: 205-325-8592
Mailing address:
  • Phone: 205-325-8100
  • Fax: 205-325-8592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. C. BRIAN SPRABERRY
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 205-325-8678