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NPI Code Detail

MEDICARE: JAMES HOWARD POOLE O.D.

MEDICARE:   JAMES HOWARD POOLE  O.D.
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
1152W00000XOptometristS641-TA-157AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151095094OTHERALBLUE CROSS BLUE SHIELD
251095087OTHERALBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1811979982
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES HOWARD POOLE O.D.
Provider Business Mailing Address
First Line : 1120 AIRPORT DR
Second Line : SUITE104
City : ALEXANDER CITY
State : AL
Zip : 35010-3436
Country : US
Telephone Number : 256-329-8400
Fax Number : 256-329-8200
Provider Business Practice Location Address
First Line : 1120 AIRPORT DR
Second Line : SUITE104
City : ALEXANDER CITY
State : AL
Zip : 35010-3436
Country : US
Telephone Number : 256-329-8400
Fax Number : 256-329-8200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 02/18/2008

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Directions to “ JAMES HOWARD POOLE O.D.” Practice Location

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