Organization
ALABAMA EYE SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE SHELBY EICH MD (MEDICAL DOCTOR OWNER)
(205) 787-1411
Entity
Organization
Contact information
Practice address
801 PRINCETON AVE SW, STE 530, BIRMINGHAM, AL 35211-1310
(205) 787-1411
(205) 787-2603
Mailing address
PO BOX 10992, BIRMINGHAM, AL 35202-0992
(205) 787-1411
(205) 787-2603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529921660
—
AL
01
—
DC1578
RAILROAD MEDICARE GROUP
AL
01
—
G042
BLUE CROSS OF ALABAMA
AL
Enumeration date
04/25/2006
Last updated
07/17/2009
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