Healthcare Provider Details

I. General information

NPI: 1386667590
Provider Name (Legal Business Name): SCHAEFFER EYE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 10/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3428 OLD COLUMBIANA RD
BIRMINGHAM AL
35226-3321
US

IV. Provider business mailing address

3428 OLD COLUMBIANA RD
BIRMINGHAM AL
35226-3321
US

V. Phone/Fax

Practice location:
  • Phone: 205-824-7171
  • Fax: 205-824-7179
Mailing address:
  • Phone: 205-824-7171
  • Fax: 205-824-7179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. JACK L. SCHAEFFER
Title or Position: OWNER
Credential: O.D.
Phone: 205-824-7171