Individual
DR. KATHERINE WEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1716 UNIVERSITY BLVD, HPB G080A, BIRMINGHAM, AL 35294-0010
(205) 975-2020
(205) 934-6755
Mailing address
1716 UNIVERSITY BLVD, HPB G080A, BIRMINGHAM, AL 35294-0010
(205) 975-2020
(205) 934-6755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SA33TA287
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000035887
—
AL
05
—
04500362
—
MS
01
—
41002840
MEDICARE RAILROAD
—
01
—
51035147
BCBS OF ALABAMA
AL
01
—
51035887
BCBS
AL
01
—
U57411
VIVA
AL
Enumeration date
08/09/2006
Last updated
11/30/2012
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