MEDICARE: DAVID SIDNEY LEWIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	00027609	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	510-04377	OTHER	AL	BCBSAL

General Provider Information

NPI Number	:	1003801473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID SIDNEY LEWIS MD

Provider Business Mailing Address
First Line	:	3928 MONTCLAIR RD
Second Line	:
City	:	MOUNTAIN BRK
State	:	AL
Zip	:	35213-2426
Country	:	US
Telephone Number	:	205-592-3911
Fax Number	:

Provider Business Practice Location Address
First Line	:	7067 VETERANS PKWY STE 200
Second Line	:
City	:	PELL CITY
State	:	AL
Zip	:	35125-5128
Country	:	US
Telephone Number	:	205-592-3911
Fax Number	:	205-460-8238

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	10/02/2024

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Directions to “ DAVID SIDNEY LEWIS MD” Practice Location

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