MEDICARE: JAMES MORRIS 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	9233	AL

General Provider Information

NPI Number	:	1821054511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES MORRIS LEWIS MD

Provider Business Mailing Address
First Line	:	1704 5TH AVE NO
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35203
Country	:	US
Telephone Number	:	205-326-3800
Fax Number	:	205-326-3021

Provider Business Practice Location Address
First Line	:	1704 5TH AVE NO
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35203
Country	:	US
Telephone Number	:	205-326-3800
Fax Number	:	205-326-3021

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

Provider Enumeration Date	:	04/22/2006
Last Update Date	:	07/08/2007

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