=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700840311
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DAVID A SKIER MD FACS PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/12/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1830 14TH AVENUE SOUTH
-----------------------------------------------------
City | BIRMINGHAM
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35205-4969
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-933-8273
-----------------------------------------------------
Fax | 205-933-8277
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1830 14TH AVENUE SOUTH
-----------------------------------------------------
City | BIRMINGHAM
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35205-4969
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-933-8273
-----------------------------------------------------
Fax | 205-933-8277
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN
-----------------------------------------------------
Name | DR. DAVID A SKIER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 205-933-8273
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207W00000X
-----------------------------------------------------
Taxonomy Name | Ophthalmology Physician
-----------------------------------------------------
License Number | 5769
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------