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NPI Code Detail

MEDICARE: JAMES W. BEDSOLE , INC.

MEDICARE: JAMES W. BEDSOLE , INC.
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
1152W00000XOptometristS404-TA-011AL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2410039493OTHERALRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
345072OTHERALBLUECROSS PMD

General Provider Information

NPI Number : 1710159728
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMES W. BEDSOLE , INC.
Provider Business Mailing Address
First Line : 2020 MARTIN ST S
Second Line :
City : PELL CITY
State : AL
Zip : 35128-2326
Country : US
Telephone Number : 205-884-2020
Fax Number : 205-338-8840
Provider Business Practice Location Address
First Line : 2020 MARTIN ST S
Second Line :
City : PELL CITY
State : AL
Zip : 35128-2326
Country : US
Telephone Number : 205-884-2020
Fax Number : 205-338-8840
Authorized Official
Title or Position : PRESDENT
Name : DR. JAMES W. BEDSOLE
Credential : O.D.
Telephone Number : 205-884-2020
Provider Enumeration Date : 03/31/2008
Last Update Date : 11/09/2022

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