Organization
NOWVISION EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI JASPER O.D. (OWNER)
(205) 777-5572
Entity
Organization
Contact information
Practice address
2226 1ST AVE S, SUITE 103, BIRMINGHAM, AL 35233-2333
(205) 777-5572
(205) 777-5576
Mailing address
2226 1ST AVE S, SUITE 103, BIRMINGHAM, AL 35233-2333
(205) 777-5572
(205) 777-5576
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-C60-TA-898
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102G703487
MEDICARE PTAN
AL
Enumeration date
11/27/2012
Last updated
11/27/2012
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