# ALABAMA EYE SURGERY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184680647
- **Authorized official:** BRUCE SHELBY EICH MD (MEDICAL DOCTOR OWNER)
- **Authorized official phone:** (205) 787-1411

## Contact information

- **Practice address:** 801 PRINCETON AVE SW, STE 530, BIRMINGHAM, AL 35211-1310
- **Practice address phone:** (205) 787-1411
- **Practice address fax:** (205) 787-2603
- **Mailing address:** PO BOX 10992, BIRMINGHAM, AL 35202-0992
- **Mailing address phone:** (205) 787-1411
- **Mailing address fax:** (205) 787-2603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2006
- **Last updated:** 07/17/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 529921660 | — | AL |
| 01 | — | DC1578 | RAILROAD MEDICARE GROUP | AL |
| 01 | — | G042 | BLUE CROSS OF ALABAMA | AL |