# BROOKWOOD OPHTHALMOLOGY IMAGING AND ANCILLARY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BROOKWOOD OPHTHALMOLOGY, INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386849669
- **Authorized official:** MRS. JANIE NORFLEET WHITE (PRESIDENT)
- **Authorized official phone:** (205) 383-9498

## Contact information

- **Practice address:** 1 CHASE CORPORATE DR STE 439, HOOVER, AL 35244-1026
- **Practice address phone:** (205) 313-6300
- **Practice address fax:** (253) 465-4859
- **Mailing address:** 1 CHASE CORPORATE DR STE 439, HOOVER, AL 35244-1026
- **Mailing address phone:** (205) 313-6300
- **Mailing address fax:** (253) 645-4859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/18/2007
- **Last updated:** 05/11/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009936633 | — | AL |
| 05 | — | 051533202 | — | AL |
| 01 | — | 213985282 | TRICARE STANDARD HUMANA | AL |
| 01 | — | 4648847 | AETNA | AL |
| 01 | — | 51533202 | BCBS AL BROOKWOOD | AL |
| 01 | — | 51533857 | BCBS MARION | AL |
| 01 | — | A96597 | VIVA | AL |
| 01 | — | P00301433 | MEDICARE RAILROAD | AL |