MEDICARE: JOHN ESSINGER O.D., M.S.

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	152W00000X	Optometrist	S770TA218	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00112035	OTHER	AL	RAILROAD MEDICARE
4	4691470001	OTHER	AL	MEDICARE PALMETTO GBA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	760709613	OTHER	AL	TRICARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	51514007	OTHER	AL	BLUE CROSS BLUE SHIELD
6	2210554	OTHER	AL	UNITED HEALTH CARE

General Provider Information

NPI Number	:	1790705424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN ESSINGER O.D., M.S.

Provider Business Mailing Address
First Line	:	2531 ROCKY RIDGE RD
Second Line	:	SUITE 116
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-4445
Country	:	US
Telephone Number	:	205-978-4088
Fax Number	:	205-978-4085

Provider Business Practice Location Address
First Line	:	2531 ROCKY RIDGE RD
Second Line	:	SUITE 116
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-4445
Country	:	US
Telephone Number	:	205-978-4088
Fax Number	:	205-978-4085

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

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	03/12/2013

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Directions to “ JOHN ESSINGER O.D., M.S.” Practice Location

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