Individual
DAWN K DECARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
SB27TA707
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000058533
MEDICARE
AL
05
—
000058533
—
AL
05
—
009934591
—
AL
01
—
027962004
NSC
AL
01
—
051531953
BLUE CROSS
AL
01
—
051558533
BCBS OF AL
AL
01
—
U46032
HEALTHSPRING OF ALABAMA
AL
Enumeration date
06/15/2006
Last updated
06/15/2011
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