# TUSCALOOSA OPHTHALMOLOGY, INC.

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

## Provider details

- **NPI number:** 1487728218
- **Authorized official:** DR. JOSEPH GIRA M.D. (CMO/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (636) 227-2600

## Contact information

- **Practice address:** 535 JACK WARNER PKWY NE STE B1, TUSCALOOSA, AL 35404-5715
- **Practice address phone:** (205) 556-2121
- **Practice address fax:** (205) 554-0152
- **Mailing address:** 535 JACK WARNER PKWY NE STE B1, TUSCALOOSA, AL 35404-5715
- **Mailing address phone:** (205) 556-2121
- **Mailing address fax:** (205) 554-0152

## Taxonomy

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

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 10/31/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 529202430 | — | AL |