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General NPI Number Information
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NPI Number | 1487728218
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Entity Type | Organization
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Legal Business Name | TUSCALOOSA OPHTHALMOLOGY, INC.
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 535 JACK WARNER PKWY NE STE B1
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City | TUSCALOOSA
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State | AL
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Zip | 35404-5715
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Country | US
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Telephone | 205-556-2121
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Fax | 205-554-0152
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Provider Business Mailing Address
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Address Line | 535 JACK WARNER PKWY NE STE B1
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City | TUSCALOOSA
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State | AL
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Zip | 35404-5715
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Country | US
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Telephone | 205-556-2121
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Fax | 205-554-0152
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Authorized Official
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Title or Position | CMO/AUTHORIZED OFFICIAL
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Name | DR. JOSEPH GIRA
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Credential | M.D.
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Telephone | 636-227-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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