Individual
JAMES FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., PH. D.
Contact information
Practice address
2531 ROCKY RIDGE RD, SUITE 116, BIRMINGHAM, AL 35243-4445
(205) 978-4088
(205) 978-4085
Mailing address
2531 ROCKY RIDGE RD, SUITE 116, BIRMINGHAM, AL 35243-4445
(205) 978-4088
(205) 978-4085
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S985TA558
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2200064
UNITED HEALTH CARE
AL
01
—
4691470001
MEDICARE PALMETTO GBA
AL
01
—
51514016
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/20/2006
Last updated
07/08/2007
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